ALTOONA LOGAN TWP MOBILE MED EMERG DEPT AUTHORITY NPI 1023003241

NPI Information

NPI: 1023003241
Provider Name: ALTOONA LOGAN TWP MOBILE MED EMERG DEPT AUTHORITY
Classification: Ambulance - 341600000X
Entity Type: Organization
Doing Business As: AMED
CLIA Number: 39D0704593
Address: 106 REIMER ST
ALTOONA, PA
ZIP 16602
Phone: (814) 943-8993

Map and Directions

Get Directions

NPI Details

ALTOONA LOGAN TWP MOBILE MED EMERG DEPT AUTHORITY is an ambulance in Altoona, PA. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). ALTOONA LOGAN TWP MOBILE MED EMERG DEPT AUTHORITY NPI is 1023003241. The provider is registered as an organization entity type.
The provider Is Doing Business As Amed.

The provider's business location address is:

106 REIMER ST
ALTOONA, PA
ZIP 16602-936
Phone: (814) 943-8993
Fax: (814) 943-7199

The provider's authorized official is Gary J Watters .
The authorized official title is Executive Director and has the following contact phone number (814) 943-8993.

The CLIA number assigned to this NPI record is 39D0704593 - ambulance with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Ground mileage, per statute mile (HCPCS:A0425)
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
Ambulance service, basic life support, non-emergency transport, (bls) (HCPCS:A0428)
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) (HCPCS:A0426)
Advanced life support, level 2 (als 2) (HCPCS:A0433)

The enumeration date for this NPI number is 9/14/2005 and was last updated on 1/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport			No
2	343900000X	Non-emergency Medical Transport (VAN)				No
3	341600000X	Ambulance		06065	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0014766780003	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI