Active NPI
Manheim Township Ambulance Association
- Ambulance
- Lancaster, PA
National Provider Identifier
1801888755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 04220
- 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, 2020
- 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
- Mrs. Terri L Smith
- Title
- Executive Director
- Phone
- (717) 569-6622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007690110001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110216000134 | PA | Part B Supplier - Ambulance Service Supplier | 3173703642 | Practice locations: Lancaster, 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 |
|---|---|---|---|
| 39D0960598 | Manheim Township Ambulance Association | Certificate of waiver | May 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.