Active NPI
City of Bethlehem
- Land Ambulance
- Bethlehem, PA
National Provider Identifier
1891755070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 03049
- Legal business name
- CITY OF BETHLEHEM
- Doing business as
- City of Bethlehem EMS
- Practice address
- 540 Stefko Blvd
Bethlehem, PA 18017-7052 - Phone
- (610) 865-7111
- Fax
- (610) 865-7292
- NPI assigned
- Mar 23, 2006
- 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
- Mr. Gordon F. Smith, EMT-P
- Title
- Director of EMS
- Phone
- (610) 865-7111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 03049 | PA | Primary |
Addresses
Primary practice location
540 Stefko Blvd
Bethlehem, PA 18017-7052
Mailing address
540 Stefko Blvd
Bethlehem, PA 18017-7052
Phone (610) 865-7111
Other names 1
- City of Bethlehem EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100527000105 | PA | Part B Supplier - Ambulance Service Supplier | 8123157351 | Practice locations: Bethlehem, PA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
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 |
|---|---|---|---|
| 39D1073537 | City of Bethlehem Emergency Medical | Certificate of waiver | Sep 10, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Bethlehem Health Bureau
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Bethlehem, PA
- NPI 1831363498
Locations
540 Stefko Blvd
Bethlehem, PA 18017
Phone (610) 865-7111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499904000000",
"number": "1891755070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 STEFKO BLVD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177052",
"telephone_number": "610-865-7111",
"fax_number": "610-865-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 STEFKO BLVD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177052",
"telephone_number": "610-865-7111",
"fax_number": "610-865-7292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF BETHLEHEM",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-23",
"last_updated": "2017-07-13",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "GORDON",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "DIRECTOR OF EMS",
"authorized_official_telephone_number": "610-865-7111",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "EMT-P"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "03049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "City of Bethlehem EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.