Upper St. Clair Township

Primary specialty

AmbulanceTaxonomy code 341600000X

License

02204 Issued in PA

Legal business name

UPPER ST. CLAIR TOWNSHIP

Practice address

5490 Progress Blvd
Bethel Park, PA 15102-2500

Phone

(412) 831-3710

Fax

(412) 831-3038

NPI assigned

Feb 28, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Pungitore

Title

Finance Manager

Phone

(412) 831-3710

Specialties & licenses 1

Addresses

Other names 1

• Tri-Community South EMS Former legal business name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1760458806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5490 PROGRESS BLVD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022500",
            "telephone_number": "412-831-3710",
            "fax_number": "412-831-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5490 PROGRESS BLVD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022500",
            "telephone_number": "412-831-3710",
            "fax_number": "412-831-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER ST. CLAIR TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "PUNGITORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "412-831-3710"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "02204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Community South EMS",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Tri-Community South EMS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ambulance in Bethel Park, PA
• Providers in Bethel Park, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.