Organization Active NPI

Warwick Community Ambulance Association

  • Land Ambulance
  • Lititz, PA
National Provider Identifier
1992797765
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
05189 Issued in PA
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

Updated by the provider on Apr 4, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000746554MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060830000321 PA Part B Supplier - Ambulance Service Supplier 9739183914 Practice locations: Lititz, PA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.