Organization Active NPI

Western Berks Ambulance Association

  • Ambulance
  • West Lawn, PA
National Provider Identifier
1639167448
Registry record updated Jan 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
WESTERN BERKS AMBULANCE ASSOCIATION
Practice address
2506 Belmont Ave
West Lawn, PA 19609-1535
Phone
(610) 678-1545
Fax
(610) 670-3783
NPI assigned
Oct 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2022

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

Authorized official

Name
Mr. Anthony L Tucci
Title
Executive Director
Phone
(610) 678-1545

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ParamedicGroup: 193400000X SINGLE SPECIALTY GROUP 146L00000X 03096 PA
Ambulance 341600000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

2506 Belmont Ave
West Lawn, PA 19609-1535

Mailing address

2506 Belmont Ave
West Lawn, PA 19609-1535
Phone (610) 678-1545

Other identifiers 1

IdentifierTypeStateIssuer
000991677MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100112000324 PA Part B Supplier - Ambulance Service Supplier 5395886485 Practice locations: Birdsboro, PA; Douglassville, PA; Robesonia, PA; Sinking Spring, PA; West Lawn, PA; West Reading, 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
39D0890727Western Berks Ambulance Association2506 Belmont Ave, West Lawn, PA 19609Certificate of waiverAug 23, 2026

National Provider Directory

National Provider Directory

Locations

47 Pine Forge Rd
Douglassville, PA 19518
Phone 61067815456504

1011 Berk Rd
Leesport, PA 19533
Phone (610) 373-1600

551 W Penn Ave
Robesonia, PA 19551
Phone (610) 678-1545

505 Brownsville Rd
Sinking Spring, PA 19608
Phone 61067815456504

1 Heidelberg Dr
Wernersville, PA 19565
Phone (610) 927-8160

223 Playground Dr
West Reading, PA 19611
Phone (610) 678-1545

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642809600000",
    "number": "1639167448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 BELMONT AVE",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091535",
            "telephone_number": "610-678-1545",
            "fax_number": "610-670-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 BELMONT AVE",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091535",
            "telephone_number": "610-678-1545",
            "fax_number": "610-670-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN BERKS AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A",
        "authorized_official_last_name": "TUCCI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-678-1545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "PA",
            "license": "03096",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000991677",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lawn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; 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.