Kathleen M Minnich

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

KATHLEEN M MINNICH

Practice address

201 E Penn Ave
Cleona, PA 17042-2429

Phone

(717) 270-1070

Fax

(717) 273-8373

NPI assigned

Jun 16, 2005

Last updated

Aug 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen M. Minnich

Title

Owner

Phone

(717) 270-1070

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Central Medical Ambulance Service Other 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": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1861497893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 HILL CHURCH RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170469350",
            "telephone_number": "717-270-1070",
            "fax_number": "717-273-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E PENN AVE",
            "city": "CLEONA",
            "state": "PA",
            "postal_code": "170422429",
            "telephone_number": "717-270-1070",
            "fax_number": "717-273-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN M MINNICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "MINNICH",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-270-1070"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "301298",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "301298",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "20007524",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH",
            "identifier": "1511694",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012164090004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Medical Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Land Ambulance in Cleona, PA
• Providers in Cleona, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.