Madera Volunteer Ambulance Service
Organization Active NPI Land Ambulance · Madera, PA
NPI 1306845136 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1306845136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 05047 (PA)
- Legal business name
- MADERA VOLUNTEER AMBULANCE SERVICE
- Practice address
- Rte 53 Main St
Madera, PA 16661 - Phone
- (814) 378-8777
- Fax
- (814) 378-5797
- NPI assigned
- Jul 14, 2005
- Organization subpart
- No
Authorized official
- Name
- Faye Willey
- Title
- Treasurer/Secretary
- Phone
- (814) 378-8777
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111018000056 | PA | Part B Supplier - Ambulance Service Supplier | 2163694142 | Practice locations: Madera, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 05047 | PA | Yes |
Addresses
Primary practice location
Rte 53 Main St
Madera, PA 16661
Mailing address
PO Box 726
New Cumberland, PA 17070-0726
Phone (717) 214-6018
Other providers in Madera, PA
All providers in Madera, PA · Land Ambulance in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.