Bally Community Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BALLY COMMUNITY AMBULANCE ASSOCIATION

Practice address

537 Chestnut St
Bally, PA 19503-9615

Phone

(610) 845-2501

Fax

(610) 845-7898

NPI assigned

Mar 7, 2007

Last updated

Nov 6, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Groff

Title

Director

Phone

(610) 845-2501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bally Community Ambulance Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1275663163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "BALLY",
            "state": "PA",
            "postal_code": "195030353",
            "telephone_number": "610-845-2501",
            "fax_number": "610-845-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 CHESTNUT ST",
            "city": "BALLY",
            "state": "PA",
            "postal_code": "195039615",
            "telephone_number": "610-845-2501",
            "fax_number": "610-845-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLY COMMUNITY AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "GROFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-845-2501"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011886090001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bally Community Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Land Ambulance in Bally, PA
• Providers in Bally, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.