Organization Active NPI

Supervisors of Upper Merion Township

  • Land Ambulance
  • King of Prussia, PA
National Provider Identifier
1568026680
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SUPERVISORS OF UPPER MERION TOWNSHIP
Practice address
180 N Henderson Rd
King of Prussia, PA 19406-2123
Phone
(610) 992-0399
NPI assigned
Apr 24, 2019
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
Gregory Waks
Title
Chair
Phone
(610) 992-0399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

180 N Henderson Rd
King of Prussia, PA 19406-2123

Mailing address

175 W Valley Forge Rd
King of Prussia, PA 19406-1851
Phone (484) 636-3919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190617000824 PA Part B Supplier - Ambulance Service Supplier 1658604145 Practice locations: King of Prussia, PA

National Provider Directory

National Provider Directory

Locations

175 W Valley Forge Rd
King of Prussia, PA 19406
Phone (610) 265-2600

400 Guthrie Rd
Kng of Prussa, PA 19406
Phone (484) 636-3919

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1568026680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W VALLEY FORGE RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061851",
            "telephone_number": "484-636-3919",
            "fax_number": "610-265-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N HENDERSON RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062123",
            "telephone_number": "610-992-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERVISORS OF UPPER MERION TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "WAKS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CHAIR",
        "authorized_official_telephone_number": "610-992-0399"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, 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.