Active NPI
Hanover Township Community Ambulance Association Inc
- Land Ambulance
- Hanover Township, PA
National Provider Identifier
1528054699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 04188
- Legal business name
- HANOVER TOWNSHIP COMMUNITY AMBULANCE ASSOCIATION INC
- Practice address
- 1001 Center St
Hanover Township, PA 18706-5034 - Phone
- (570) 825-1266
- Fax
- (570) 970-9830
- NPI assigned
- Sep 23, 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
- Frank D Rinkevich Sr.
- Title
- Financial Sec
- Phone
- (570) 822-4213
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 04188 | PA | Primary |
Addresses
Primary practice location
1001 Center St
Hanover Township, PA 18706-5034
Mailing address
PO Box 207
Allentown, PA 18105-0207
Phone (800) 473-2278
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208815 | Other | PA | BC BS OF PA BLUE SHIELD |
| PA0497 | Other | QUALMED | |
| 0585780 | Other | AETNA USHC BLUE BELL HMO | |
| 811093 | Other | UMWA HEALTH & RETIREMENT | |
| P032492 | Other | TRI CARE MID ATL | |
| PA0497 | Other | ACS HEALTH NET HMO MDC | |
| 0014373480003 | Medicaid | PA | |
| P032492 | Other | TRI CARE NORTHEAST | |
| PA0497 | Other | PHS HEALTH PLAN HMO MDC | |
| 081109300 | Other | FEDERAL BLACK LUNG | |
| PA0497 | Other | ACS HEALTH NET COMMERCIAL | |
| 077535 | Other | FIRST PRIORITY HEALTH | |
| PA0497 | Other | PHS HEALTH PLAN COMMERCIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120508000562 | PA | Part B Supplier - Ambulance Service Supplier | 9133381163 | Practice locations: Hanover Township, PA |
National Provider Directory
National Provider DirectoryLocations
1001 Center St
Hanover Township, PA 18706
Phone (570) 825-1266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320105600000",
"number": "1528054699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181050207",
"telephone_number": "800-473-2278",
"fax_number": "484-664-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 CENTER ST",
"city": "HANOVER TOWNSHIP",
"state": "PA",
"postal_code": "187065034",
"telephone_number": "570-825-1266",
"fax_number": "570-970-9830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANOVER TOWNSHIP COMMUNITY AMBULANCE ASSOCIATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-23",
"last_updated": "2011-11-01",
"status": "A",
"authorized_official_last_name": "RINKEVICH",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "FINANCIAL SEC",
"authorized_official_telephone_number": "570-822-4213",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "04188",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF PA BLUE SHIELD",
"identifier": "208815",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALMED",
"identifier": "PA0497",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC BLUE BELL HMO",
"identifier": "0585780",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA HEALTH & RETIREMENT",
"identifier": "811093",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI CARE MID ATL",
"identifier": "P032492",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS HEALTH NET HMO MDC",
"identifier": "PA0497",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014373480003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI CARE NORTHEAST",
"identifier": "P032492",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS HEALTH PLAN HMO MDC",
"identifier": "PA0497",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "081109300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS HEALTH NET COMMERCIAL",
"identifier": "PA0497",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "077535",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS HEALTH PLAN COMMERCIA",
"identifier": "PA0497",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hanover Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.