McGonigle Ambulance Service, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

04246 Issued in PA

Legal business name

MCGONIGLE AMBULANCE SERVICE, INC.

Practice address

1615 E State St
Hermitage, PA 16148-1822

Phone

(724) 347-7575

Fax

(724) 347-3582

NPI assigned

Sep 21, 2005

Organization subpart

No

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

Authorized official

Name

Pam McGonigle

Title

Manager

Phone

(724) 347-7575

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1528054970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 E STATE ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161463367",
            "telephone_number": "724-347-7575",
            "fax_number": "724-347-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 E STATE ST",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161481822",
            "telephone_number": "724-347-7575",
            "fax_number": "724-347-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGONIGLE AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "MCGONIGLE",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "724-347-7575"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012856110001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0741157",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher McCann, MA
• Stephen McCartan, PA C
• Alexandra McClurg, PA-C
• Scott McCoy, OTR
• Tara Nicole McFadden
• William McIntyre, RPH
• James B McNeil Jr., ATC
• Medexpress Urgent Care, PC-Pennsylvania
• Susan Dawn Mehallick, ATC/L
• Nicole Marie Mehler, D.P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.