Organization Active NPI

Volunteer Medical Service Corps of Narberth

  • Ambulance
  • Ardmore, PA
National Provider Identifier
1306913421
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
03248 Issued in PA
Legal business name
VOLUNTEER MEDICAL SERVICE CORPS OF NARBERTH
Practice address
101 Sibley Ave
Ardmore, PA 19003-2311
Phone
(610) 645-7770
Fax
(610) 645-7957
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Albert Frederick Davey
Title
Executive Director
Phone
(610) 645-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 03248 PA Primary

Addresses

Primary practice location

101 Sibley Ave
Ardmore, PA 19003-2311

Mailing address

101 Sibley Ave
Ardmore, PA 19003-2311
Phone (610) 645-7770

Other identifiers 1

IdentifierTypeStateIssuer
0011069260002MedicaidPA

Other names 1

  • Narberth Ambulance Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120120000091 PA Part B Supplier - Ambulance Service Supplier 6608043369 Practice locations: Ardmore, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0913243Volunteer Medical Service Corps101 Sibley Avenue, Ardmore, PA 19003Certificate of waiverMar 25, 2028
39D2140303Narberth Ambulance101 Sibley Ave, Ardmore, PA 19003Certificate of waiverNov 19, 2027

National Provider Directory

National Provider Directory

Locations

101 Sibley Ave
Ardmore, PA 19003
Phone (610) 645-7770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1306913421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SIBLEY AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032311",
            "telephone_number": "610-645-7770",
            "fax_number": "610-645-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SIBLEY AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032311",
            "telephone_number": "610-645-7770",
            "fax_number": "610-645-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEER MEDICAL SERVICE CORPS OF NARBERTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "DAVEY",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-645-7770"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "03248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011069260002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Narberth Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.