McKeesport Ambulance Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05163 Issued in PA

Legal business name

MCKEESPORT AMBULANCE AUTHORITY

Doing business as

McKeesport Ambulance Rescue Service

Practice address

1604 Evans Avenue
McKeesport, PA 15132

Phone

(412) 675-5076

Fax

(412) 675-5072

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William Richard Miller, EMTP

Title

Executive Director

Phone

(412) 675-5079

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• McKeesport Ambulance Rescue Service Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689684706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "address_2": "1604 EVANS AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151340580",
            "telephone_number": "412-675-5076",
            "fax_number": "412-675-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 EVANS AVENUE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "15132",
            "telephone_number": "412-675-5076",
            "fax_number": "412-675-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKEESPORT AMBULANCE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "412-675-5079",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMTP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "61402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HP",
            "identifier": "1003418",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012427590002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKeesport Ambulance Rescue Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayleigh Joan McGinley, PA-C
• Vaune A McGinn
• Ultan McGlone
• Alesha McGough
• Caryce McGurn-Drzik
• McKeesport Area School District
• McKeesport Center for Nursing and Rehab LLC
• Diana Marie McKinney, PHARMD
• Karen McKivens
• John E McLaughlin, PH.D.

• Land Ambulance in McKeesport, PA
• Providers in McKeesport, 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.
• 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.