Organization Active NPI

Non Profit Emergency Services of Beaver County

  • Land Ambulance
  • Beaver, PA
National Provider Identifier
1528044690
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
05092 Issued in PA
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

Updated by the provider on Oct 7, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0009131150004MedicaidPA

Other names 1

  • Medic Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040121000669 PA Part B Supplier - Ambulance Service Supplier 2163324153 Practice locations: Beaver, 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
39D0688305Medic Rescue313 Bridge Street, Beaver, PA 15009Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.