KATHLEEN M MINNICH NPI 1861497893

NPI Information

NPI: 1861497893
Provider Name: KATHLEEN M MINNICH

Other Name: CENTRAL MEDICAL AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
201 E PENN AVE
CLEONA, PA
ZIP 17042
Phone: (717) 270-1070
Get Directions

KATHLEEN M MINNICH is a land transport ambulance in Cleona, PA. KATHLEEN M MINNICH NPI is 1861497893. The provider is registered as an organization entity type.
The provider Other Name Is Central Medical Ambulance Service.

The provider's business location address is:

201 E PENN AVE
CLEONA, PA
ZIP 17042-429
Phone: (717) 270-1070
Fax: (717) 273-8373

The provider's authorized official is Kathleen M. Minnich .
The authorized official title is Owner and has the following contact phone number (717) 270-1070.

The CLIA number assigned to this NPI record is 39D2149682 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 8/4/2016.

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			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	1511694	OTHER	PENNSYLVANIA	GATEWAY HEALTH
2	20007524	OTHER	PENNSYLVANIA	AMERIHEALTH
3	301298	OTHER	PENNSYLVANIA	HEALTH ASSURANCE
4	0012164090004	MEDICAID	PENNSYLVANIA
5	215741	MEDICARE PIN	PENNSYLVANIA
6	301298	OTHER	PENNSYLVANIA	HEALTH AMERICA

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: 5/5/2024

NPI Synchronization or Removal

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