Active NPI
Marple Township Ambulance Corp
- Land Ambulance
- Broomall, PA
National Provider Identifier
1740276716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 04070
- Legal business name
- MARPLE TOWNSHIP AMBULANCE CORP
- Practice address
- 8 N Malin Rd
Broomall, PA 19008-1807 - Phone
- (610) 356-1639
- NPI assigned
- Sep 23, 2005
- 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
- Mr. Thomas Gorski
- Title
- President
- Phone
- (610) 356-1639
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | 04070 | PA | Primary |
Addresses
Primary practice location
8 N Malin Rd
Broomall, PA 19008-1807
Mailing address
PO Box 207
Allentown, PA 18105-0207
Phone (800) 473-2278
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07939 | Other | HEALTH PARTNERS HMO DPA | |
| 0X00PB3806 | Other | PHS HEALTH PLAN HMO MDC | |
| 0X00PB3806 | Other | ACS HEALTH NET HMO MDC | |
| 280832 | Other | BCBS OF PA BLUE SHIELD | |
| 0X00PB3806 | Other | PHS HEALTH PLAN COMM | |
| 1046069 | Other | KEYSTONE MERCY HMO DPA | |
| 0005397 | Other | AETNA USHC BLUE BELL HMO | |
| 0016063330006 | Medicaid | PA | |
| 0X00PB3806 | Other | QAULMED | |
| 0X00PB3806 | Other | ACS HEALTH NET COMMERCIAL | |
| F461108 | Other | OXFORD HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070129000149 | PA | Part B Supplier - Ambulance Service Supplier | 3678574076 | Practice locations: Broomall, 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 |
|---|---|---|---|
| 39D2136763 | Marple Township Ambulance Corps | Certificate of waiver | Sep 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
121 S Sproul Rd
Broomall, PA 19008
Phone (610) 356-1639
8 N Malin Rd
Broomall, PA 19008
Phone (610) 356-1639
610 Parkway
Broomall, PA 19008
Phone (610) 356-1639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712534400000",
"number": "1740276716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181050207",
"telephone_number": "800-473-2278",
"fax_number": "484-664-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 N MALIN RD",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190081807",
"telephone_number": "610-356-1639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARPLE TOWNSHIP AMBULANCE CORP",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-23",
"last_updated": "2024-04-08",
"certification_date": "2024-03-28",
"status": "A",
"authorized_official_last_name": "GORSKI",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-356-1639",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "04070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS HMO DPA",
"identifier": "07939",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS HEALTH PLAN HMO MDC",
"identifier": "0X00PB3806",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS HEALTH NET HMO MDC",
"identifier": "0X00PB3806",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF PA BLUE SHIELD",
"identifier": "280832",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS HEALTH PLAN COMM",
"identifier": "0X00PB3806",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HMO DPA",
"identifier": "1046069",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC BLUE BELL HMO",
"identifier": "0005397",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016063330006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QAULMED",
"identifier": "0X00PB3806",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS HEALTH NET COMMERCIAL",
"identifier": "0X00PB3806",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "F461108",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broomall, 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.