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PENN MAHONING AMBULANCE ASSOCIATION NPI 1063452324


NPI Information

NPI: 1063452324
Provider Name: PENN MAHONING AMBULANCE ASSOCIATION
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 39D2134011

Address:
1748 WEST PENN PIKE
NEW RINGGOLD, PA
ZIP 17960
Phone: (570) 386-2233
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PENN MAHONING AMBULANCE ASSOCIATION is a land transport ambulance in New Ringgold, PA. PENN MAHONING AMBULANCE ASSOCIATION NPI is 1063452324. The provider is registered as an organization entity type.

The provider's business location address is:

1748 WEST PENN PIKE
NEW RINGGOLD, PA
ZIP 17960-401
Phone: (570) 386-2233
Fax: (570) 386-4128

The provider's authorized official is Valerie Coombe .
The authorized official title is President and has the following contact phone number (570) 386-2233.

The CLIA number assigned to this NPI record is 39D2134011 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 1/20/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulanceNo
23416L0300XAmbulanceLand TransportYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001160546 0001MEDICAIDPENNSYLVANIA

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: 4/28/2024

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.