Organization Active NPI

Marple Township Ambulance Corp

  • Land Ambulance
  • Broomall, PA
National Provider Identifier
1740276716
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04070 Issued in PA
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

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
Mr. Thomas Gorski
Title
President
Phone
(610) 356-1639

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
07939OtherHEALTH PARTNERS HMO DPA
0X00PB3806OtherPHS HEALTH PLAN HMO MDC
0X00PB3806OtherACS HEALTH NET HMO MDC
280832OtherBCBS OF PA BLUE SHIELD
0X00PB3806OtherPHS HEALTH PLAN COMM
1046069OtherKEYSTONE MERCY HMO DPA
0005397OtherAETNA USHC BLUE BELL HMO
0016063330006MedicaidPA
0X00PB3806OtherQAULMED
0X00PB3806OtherACS HEALTH NET COMMERCIAL
F461108OtherOXFORD HEALTH PLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070129000149 PA Part B Supplier - Ambulance Service Supplier 3678574076 Practice locations: Broomall, 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
39D2136763Marple Township Ambulance Corps8 N Malin Road, Broomall, PA 19008Certificate of waiverSep 14, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.