Tionesta Ambulance Service, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TIONESTA AMBULANCE SERVICE, INC

Practice address

648 Elm Street
Tionesta, PA 16353-0157

Phone

(814) 673-8095

Fax

(724) 794-1633

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Robert E Wagner

Title

President

Phone

(814) 755-7726

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1730256173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "TIONESTA",
            "state": "PA",
            "postal_code": "163530157",
            "telephone_number": "814-673-8095",
            "fax_number": "724-794-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 ELM STREET",
            "city": "TIONESTA",
            "state": "PA",
            "postal_code": "163530157",
            "telephone_number": "814-673-8095",
            "fax_number": "724-794-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIONESTA AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-755-7726"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015664610003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590012708",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "284296",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabbitha Ann Nason, OTR/L
• North Clarion County School District
• Mary T. Peterson, COTA/L
• Bradley Rapp, PT, DPT
• Saint Vincent Medical Education and Research Institute
• Titusville Area Hospital

• Land Ambulance in Tionesta, PA
• Providers in Tionesta, 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 19, 2025; 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.