Organization Active NPI

Whitemarsh Community Ambulance Association

  • Land Ambulance
  • Lafayette Hill, PA
National Provider Identifier
1487633046
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03269 Issued in PA
Legal business name
WHITEMARSH COMMUNITY AMBULANCE ASSOCIATION
Practice address
4019 Joshua Rd
Lafayette Hill, PA 19444-1414
Phone
(610) 828-0955
NPI assigned
Jan 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Maria Pierce
Title
Assistant Chief
Phone
(717) 724-4136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 03269 PA Primary

Addresses

Primary practice location

4019 Joshua Rd
Lafayette Hill, PA 19444-1414

Mailing address

PO Box 376
Lafayette Hill, PA 19444-0376
Phone (610) 828-0955

Other identifiers 1

IdentifierTypeStateIssuer
0015076490003MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060307000237 PA Part B Supplier - Ambulance Service Supplier 4082621677 Practice locations: Lafayette Hill, PA

National Provider Directory

National Provider Directory

Locations

4021 Joshua Rd
Lafayette Hill, PA 19444

4019 Joshua Rd
Lafayette Hl, PA 19444
Phone (610) 828-0955

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1487633046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 376",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194440376",
            "telephone_number": "610-828-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 JOSHUA RD",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441414",
            "telephone_number": "610-828-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEMARSH COMMUNITY AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "717-724-4136"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015076490003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.