Manchester Ambulance Club

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MANCHESTER AMBULANCE CLUB

Doing business as

Northeastern Area EMS

Practice address

10 Devco Drive
Manchester, PA 17345

Phone

(717) 266-5736

Fax

(717) 266-0295

NPI assigned

Jul 14, 2005

Last updated

Apr 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly A Altland

Title

President

Phone

(717) 266-5736

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northeastern Area EMS Doing business as

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1629077474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DEVCO DRIVE",
            "city": "MANCHESTER",
            "state": "PA",
            "postal_code": "17345",
            "telephone_number": "717-266-0272",
            "fax_number": "717-266-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DEVCO DRIVE",
            "city": "MANCHESTER",
            "state": "PA",
            "postal_code": "17345",
            "telephone_number": "717-266-5736",
            "fax_number": "717-266-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER AMBULANCE CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "ALTLAND",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-266-5736"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010817100007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeastern Area EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim Marie Latterner, PA-C
• Andrew L Leitzel, O.D.
• Laura Leigh Lenart, PHARMD
• Mainline Urgent Care Medical Group
• Alock Malik
• Manchester Pharmacy & Medical (Manchester Pharmacy and Medical Supplies)
• Cynthia A Martin, CRNP
• Memorial Enterprises Inc (Memorial Primary Care Network)
• Merit Dental Inc. (Merit Dental)
• Rachael Miller

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.