Organization Active NPI

Conemaugh Valley Regional Ambulance Association

  • Land Ambulance
  • Johnstown, PA
National Provider Identifier
1720043284
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
05140 Issued in PA
Legal business name
CONEMAUGH VALLEY REGIONAL AMBULANCE ASSOCIATION
Practice address
1125 Main St
Johnstown, PA 15909-2016
Phone
(814) 535-5300
Fax
(724) 234-4703
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
David W Rykala
Title
President
Phone
(814) 659-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 05140 PA Primary

Addresses

Primary practice location

1125 Main St
Johnstown, PA 15909-2016

Mailing address

892 New Castle Rd
Slippery Rock, PA 16057-4228
Phone (800) 280-5974

Other identifiers 4

IdentifierTypeStateIssuer
080042700OtherPAFED BLACK LUNG
590015282OtherPARAILROAD MEDICARE
1401311OtherPAHIGHMARK
0019174400001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051109000124 PA Part B Supplier - Ambulance Service Supplier 3971521808 Practice locations: Johnstown, 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
39D2137036Conemaugh Valley Regional Ambulance Association1125 Main Street, Johnstown, PA 15909Certificate of waiverSep 18, 2027

National Provider Directory

National Provider Directory

Locations

1125 Main St
Johnstown, PA 15909
Phone (814) 535-1953

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1720043284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 NEW CASTLE RD",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160574228",
            "telephone_number": "800-280-5974",
            "fax_number": "814-535-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 MAIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159092016",
            "telephone_number": "814-535-5300",
            "fax_number": "724-234-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEMAUGH VALLEY REGIONAL AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "RYKALA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-659-6555"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED BLACK LUNG",
            "identifier": "080042700",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015282",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1401311",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019174400001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.