Organization Active NPI

Wakefield Ambulance Association

  • Land Ambulance
  • Peach Bottom, PA
National Provider Identifier
1588600977
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WAKEFIELD AMBULANCE ASSOCIATION
Practice address
2272 Robert Fulton Hwy
Peach Bottom, PA 17563-9701
Phone
(717) 955-0152
Fax
(717) 464-9775
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Trisha Colletti
Title
Cfo
Phone
(717) 955-0152

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 03377 PA
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

2272 Robert Fulton Hwy
Peach Bottom, PA 17563-9701

Mailing address

PO Box 86
Peach Bottom, PA 17563-0086
Phone (717) 464-0724

Other identifiers 3

IdentifierTypeStateIssuer
590009341OtherRR MEDICARE
0007063610005MedicaidPA
0706361OtherUPMC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080131000432 PA Part B Supplier - Ambulance Service Supplier 5294817011 Practice locations: Peach Bottom, 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
39D2131547Wakefield Ambulance Association2272 Robert Fulton Hwy, Peach Bottom, PA 17563Certificate of waiverMay 31, 2027

National Provider Directory

National Provider Directory

Locations

2272 Robert Fulton Hwy
Peach Bottom, PA 17563
Phone (717) 548-7041

1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1588600977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "PEACH BOTTOM",
            "state": "PA",
            "postal_code": "175630086",
            "telephone_number": "717-464-0724",
            "fax_number": "717-464-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 ROBERT FULTON HWY",
            "city": "PEACH BOTTOM",
            "state": "PA",
            "postal_code": "175639701",
            "telephone_number": "717-955-0152",
            "fax_number": "717-464-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKEFIELD AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "COLLETTI",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "717-955-0152"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "03377",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590009341",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007063610005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "0706361",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peach Bottom, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.