Organization Active NPI

Tamaqua Community Ambulance Association Inc

  • Land Ambulance
  • Tamaqua, PA
National Provider Identifier
1649286980
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TAMAQUA COMMUNITY AMBULANCE ASSOCIATION INC
Practice address
98 N Railroad St
Tamaqua, PA 18252-1329
Phone
(570) 668-3342
Fax
(570) 668-3504
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Michael E Morgans
Title
Captain/Director
Phone
(570) 668-3342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

98 N Railroad St
Tamaqua, PA 18252-1329

Mailing address

98 N Railroad St
Tamaqua, PA 18252-1329
Phone (570) 668-3342

Other identifiers 4

IdentifierTypeStateIssuer
50005OtherPAHEALTH AMERICA
083347400OtherPAFEDERAL BLACK LUNG PROG
0007625300004MedicaidPA
210063800OtherPADEPT. OF LABOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050606000031 PA Part B Supplier - Ambulance Service Supplier 9638112212 Practice locations: Tamaqua, PA

National Provider Directory

National Provider Directory

Locations

98 N Railroad St
Tamaqua, PA 18252
Phone (570) 668-3342

34 Mauch Chunk St
Tamaqua, PA 18252
Phone (570) 668-3342

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1649286980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 N RAILROAD ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182521329",
            "telephone_number": "570-668-3342",
            "fax_number": "570-668-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 N RAILROAD ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182521329",
            "telephone_number": "570-668-3342",
            "fax_number": "570-668-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMAQUA COMMUNITY AMBULANCE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "MORGANS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CAPTAIN/DIRECTOR",
        "authorized_official_telephone_number": "570-668-3342"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "50005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG PROG",
            "identifier": "083347400",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007625300004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR",
            "identifier": "210063800",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamaqua, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.