Prestige Management Service Corp

Primary specialty

AmbulanceTaxonomy code 341600000X

License

02172 Issued in PA

Legal business name

PRESTIGE MANAGEMENT SERVICE CORP

Doing business as

Prestige Ambulance

Practice address

638 Pennsylvania Ave
Rochester, PA 15074-1643

Phone

(724) 774-6990

Fax

(724) 774-6969

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Edward A Baughmane

Title

President

Phone

(724) 774-6990

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Prestige Ambulance Doing business as

Locations

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447256904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150740269",
            "telephone_number": "724-774-6990",
            "fax_number": "724-774-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 PENNSYLVANIA AVE",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150741643",
            "telephone_number": "724-774-6990",
            "fax_number": "724-774-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MANAGEMENT SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUGHMANE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-774-6990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "02172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1008874",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012293180002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Joanne E Pike
• Pittsburgh Vamc
• Kendra Potsubay, M.S./CCC-SLP
• Primary Health Network
• Mohammad Ekhtiar Rahman, CRNP
• Sean Ramsey, MA LPC
• Corey Robert Rider
• Stevee Roche, MS, LPC

• Ambulance in Rochester, PA
• Providers in Rochester, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.