Active NPI
Conemaugh Valley Regional Ambulance Association
- Land Ambulance
- Johnstown, PA
National Provider Identifier
1720043284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 05140
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080042700 | Other | PA | FED BLACK LUNG |
| 590015282 | Other | PA | RAILROAD MEDICARE |
| 1401311 | Other | PA | HIGHMARK |
| 0019174400001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051109000124 | PA | Part B Supplier - Ambulance Service Supplier | 3971521808 | Practice locations: Johnstown, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2137036 | Conemaugh Valley Regional Ambulance Association | Certificate of waiver | Sep 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- Conemaugh Valley Memorial Hospital
- Conemaugh Valley Memorial Hospital
- Conemaugh Valley Memorial Hospital
- Conemaugh Valley Memorial Hospital
- Conemaugh Valley Memorial Hospital (Conemaugh Counseling Associates)
- Conemaugh Valley School District
- Elaine Ann Confer, MD
- Kim Rena Connors
- Sarah Conrad
- Robert L Contorchick, L.P.C.
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.