Organization Active NPI

Macungie Ambulance Corp

  • Land Ambulance
  • Macungie, PA
National Provider Identifier
1881643278
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MACUNGIE AMBULANCE CORP
Practice address
5550 N Walnut St
Macungie, PA 18062-1323
Phone
(610) 966-2601
Fax
(610) 966-1561
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Mr. Christopher Greb
Title
Executive Director
Phone
(610) 966-2601

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 03289 PA
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

5550 N Walnut St
Macungie, PA 18062-1323

Mailing address

5550 N Walnut St
P.O.Box 114
Macungie, PA 18062-1323
Phone (610) 966-2601

Other identifiers 1

IdentifierTypeStateIssuer
0011431600003MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060526000160 PA Part B Supplier - Ambulance Service Supplier 9032120399 Practice locations: Macungie, 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
39D1104825Macungie Ambulance Corps5550 N Walnut Street, Macungie, PA 18062Certificate of waiverSep 10, 2027

National Provider Directory

National Provider Directory

Locations

5550 N Walnut St
Macungie, PA 18062
Phone (610) 966-2601

5534 Indian Creek Rd
Macungie, PA 18062
Phone (215) 966-2601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1881643278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 N WALNUT ST",
            "address_2": "P.O.BOX 114",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180621323",
            "telephone_number": "610-966-2601",
            "fax_number": "610-966-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 N WALNUT ST",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180621323",
            "telephone_number": "610-966-2601",
            "fax_number": "610-966-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACUNGIE AMBULANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "GREB",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-966-2601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "03289",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011431600003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macungie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.