Organization Active NPI

Manheim Township Ambulance Association

  • Ambulance
  • Lancaster, PA
National Provider Identifier
1801888755
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
04220 Issued in PA
Legal business name
MANHEIM TOWNSHIP AMBULANCE ASSOCIATION
Practice address
1820 Municipal Dr
Lancaster, PA 17601-4105
Phone
(717) 569-6622
Fax
(717) 560-9913
NPI assigned
Aug 17, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Terri L Smith
Title
Executive Director
Phone
(717) 569-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 04220 PA Primary

Addresses

Primary practice location

1820 Municipal Dr
Lancaster, PA 17601-4105

Mailing address

1820 Municipal Dr
Lancaster, PA 17601-4105
Phone (717) 569-6622

Other identifiers 1

IdentifierTypeStateIssuer
0007690110001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110216000134 PA Part B Supplier - Ambulance Service Supplier 3173703642 Practice locations: Lancaster, 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
39D0960598Manheim Township Ambulance Association1820 Municipal Drive, Lancaster, PA 17601Certificate of waiverMay 13, 2027

National Provider Directory

National Provider Directory

Locations

1820 Municipal Dr
Lancaster, PA 17601
Phone (717) 569-6622

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801888755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 MUNICIPAL DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014105",
            "telephone_number": "717-569-6622",
            "fax_number": "717-560-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MUNICIPAL DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014105",
            "telephone_number": "717-569-6622",
            "fax_number": "717-560-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHEIM TOWNSHIP AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-569-6622",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007690110001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.