Portage Area Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05114 Issued in PA

Legal business name

PORTAGE AREA AMBULANCE ASSOCIATION

Practice address

655 North Railroad Ave
Portage, PA 15946-0237

Phone

(814) 241-9663

Fax

(724) 794-1633

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charles Rimini

Title

Business Manager

Phone

(814) 241-9663

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1952436503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 237",
            "city": "PORTAGE",
            "state": "PA",
            "postal_code": "159460237",
            "telephone_number": "800-280-5974",
            "fax_number": "724-794-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 NORTH RAILROAD AVE",
            "city": "PORTAGE",
            "state": "PA",
            "postal_code": "159460237",
            "telephone_number": "814-241-9663",
            "fax_number": "724-794-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE AREA AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "RIMINI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "814-241-9663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001609595 0003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Therapy, LLC
• Robert Joseph Peppetti, DMD
• Amber Marie Phillips, M.P.T.
• Phoenix Rehabilitation and Health Services, Inc.
• Pioneer Medical PA LLC
• Portage Area School District
• Portage Chiropractic, P.C.
• Portage Podiatry
• Jordan Rochelle Poruban
• Kayla Marie Radcliffe, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.