Active NPI
Non Profit Emergency Services of Beaver County
- Land Ambulance
- Beaver, PA
National Provider Identifier
1528044690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 05092
- Legal business name
- NON PROFIT EMERGENCY SERVICES OF BEAVER COUNTY
- Practice address
- 313 Bridge St
Beaver, PA 15009-2906 - Phone
- (724) 728-3621
- Fax
- (724) 728-3696
- NPI assigned
- Dec 20, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Giannetti
- Title
- Chief Administrator
- Phone
- (724) 728-3621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 05092 | PA | Primary |
Addresses
Primary practice location
313 Bridge St
Beaver, PA 15009-2906
Mailing address
313 Bridge St
Beaver, PA 15009-2906
Phone (724) 728-3621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009131150004 | Medicaid | PA |
Other names 1
- Medic Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040121000669 | PA | Part B Supplier - Ambulance Service Supplier | 2163324153 | Practice locations: Beaver, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0688305 | Medic Rescue | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Beaver Falls, PA
- NPI 1932147436
Member Of
Locations
313 Bridge St
Beaver, PA 15009
Phone (724) 728-3621
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Beaver, PA
- NPI 1235111238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412640000000",
"number": "1528044690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 BRIDGE ST",
"city": "BEAVER",
"state": "PA",
"postal_code": "150092906",
"telephone_number": "724-728-3621",
"fax_number": "724-728-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 BRIDGE ST",
"city": "BEAVER",
"state": "PA",
"postal_code": "150092906",
"telephone_number": "724-728-3621",
"fax_number": "724-728-3696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NON PROFIT EMERGENCY SERVICES OF BEAVER COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-20",
"last_updated": "2014-10-07",
"status": "A",
"authorized_official_last_name": "GIANNETTI",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
"authorized_official_telephone_number": "724-728-3621",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "05092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009131150004",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medic Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beaver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.