Active NPI
Warwick Community Ambulance Association
- Land Ambulance
- Lititz, PA
National Provider Identifier
1992797765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 05189
- Legal business name
- WARWICK COMMUNITY AMBULANCE ASSOCIATION
- Practice address
- 151 North LN
Lititz, PA 17543-1505 - Phone
- (717) 626-1200
- Fax
- (717) 627-0728
- NPI assigned
- Aug 18, 2005
- 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
- Frank Kenavan
- Title
- Cfo
- Phone
- (717) 626-1200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 05189 | PA | Primary |
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
151 North LN
Lititz, PA 17543-1505
Mailing address
PO Box 42
Lititz, PA 17543-0042
Phone (717) 626-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000746554 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060830000321 | PA | Part B Supplier - Ambulance Service Supplier | 9739183914 | Practice locations: Lititz, PA |
National Provider Directory
National Provider DirectoryLocations
151 North Ln
Lititz, PA 17543
Phone (717) 626-1200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743724800000",
"number": "1992797765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42",
"city": "LITITZ",
"state": "PA",
"postal_code": "175430042",
"telephone_number": "717-626-1200",
"fax_number": "717-627-0728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 NORTH LN",
"city": "LITITZ",
"state": "PA",
"postal_code": "175431505",
"telephone_number": "717-626-1200",
"fax_number": "717-627-0728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARWICK COMMUNITY AMBULANCE ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-18",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A",
"authorized_official_last_name": "KENAVAN",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "717-626-1200"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "05189",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000746554",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lititz, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.