Borough of Mount Pleasant

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03105 Issued in PA

Legal business name

BOROUGH OF MOUNT PLEASANT

Practice address

100 E Main St
Mt Pleasant, PA 15666-2015

Phone

(724) 547-4620

Fax

(724) 542-7893

NPI assigned

Jan 9, 2006

Organization subpart

No

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

Authorized official

Name

Zachary Bryce Gergas

Title

Coo

Phone

(724) 309-6933

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mt Pleasant EMS - Medic 10 Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1396723367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831141",
            "telephone_number": "724-887-6822",
            "fax_number": "724-887-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156662015",
            "telephone_number": "724-547-4620",
            "fax_number": "724-542-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOROUGH OF MOUNT PLEASANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "GERGAS",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "BRYCE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "724-309-6933"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011455400002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Pleasant EMS - Medic 10",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mt Pleasant EMS - Medic 10",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jarrett J Bender, DO
• Maret Elizabeth Bernard, PA-C
• Best Addiction Care
• Bio-Medical Applications of Pennsylvania, Inc.
• Desiree Birdseye, LSW
• Kenneth W. Boscha, MD
• Vivian Boyer, CNM
• Beth Ann Bretz, C.R.N.P.
• Debra Brown, RNFA
• Howard Brumberg, M.D.

• Land Ambulance in Mt Pleasant, PA
• Providers in Mt Pleasant, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.