1740276716 NPI number — MARPLE TOWNSHIP AMBULANCE CORP

Table of content: (NPI 1740276716)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740276716 NPI number — MARPLE TOWNSHIP AMBULANCE CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARPLE TOWNSHIP AMBULANCE CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740276716
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/08/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 207
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALLENTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18105-0207
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-473-2278
Provider Business Mailing Address Fax Number:
484-664-2015

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8 N MALIN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOMALL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19008-1807
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-356-1639
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/23/2005

Additional Information

Authorized Official

Authorized Official Last Name:
GORSKI
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
610-356-1639

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X , with the licence number: 04070 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 07939 . This is a "HEALTH PARTNERS HMO DPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0X00PB3806 . This is a "PHS HEALTH PLAN HMO MDC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0X00PB3806 . This is a "ACS HEALTH NET HMO MDC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 280832 . This is a "BCBS OF PA BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0X00PB3806 . This is a "PHS HEALTH PLAN COMM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1046069 . This is a "KEYSTONE MERCY HMO DPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0005397 . This is a "AETNA USHC BLUE BELL HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0016063330006 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0X00PB3806 . This is a "QAULMED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0X00PB3806 . This is a "ACS HEALTH NET COMMERCIAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: F461108 . This is a "OXFORD HEALTH PLAN" identifier . This identifiers is of the category "OTHER".




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