Organization Active NPI

City of Bethlehem

  • Land Ambulance
  • Bethlehem, PA
National Provider Identifier
1891755070
Registry record updated Jul 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03049 Issued in PA
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

Updated by the provider on Jul 13, 2017

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 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
39D1073537City of Bethlehem Emergency Medical540 Stefko Blvd, Bethlehem, PA 18017Certificate of waiverSep 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bethlehem Health Bureau2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.