Martins Corner VFC Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

99005 Issued in PA

Legal business name

MARTINS CORNER VFC AMBULANCE

Practice address

106 Martins Corner Rd
Coatesville, PA 19320-1026

Phone

(717) 464-0724

NPI assigned

Nov 29, 2005

Organization subpart

No

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

Authorized official

Name

Daniel C Roth

Title

Billing

Phone

(717) 464-0724

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568445088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175840329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MARTINS CORNER RD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201026",
            "telephone_number": "717-464-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINS CORNER VFC AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "717-464-0724"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "99005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007061470007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saritha Mannam
• Maura Burke Marchese, LCSW
• Jessica Marston
• Stacy Martin, PTA
• Laurence-Rafael Sapiandante Martinez, PHARMD
• Anthony M Matteo Jr., PHD
• Noel Francis Mattiello, M.A.
• Sabrina Anne Matukaitis, MS.OTR.L
• Ronald L Maurer Sr., MA PSY
• Shavonne Maxie, RN

• Land Ambulance in Coatesville, PA
• Providers in Coatesville, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.