1780625194 NPI number — TOPTON COMMUNITY AMBULANCE

Table of content: (NPI 1780625194)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780625194 NPI number — TOPTON COMMUNITY AMBULANCE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOPTON COMMUNITY AMBULANCE
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:
1780625194
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/25/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 22
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOPTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19562-0022
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-682-4333
Provider Business Mailing Address Fax Number:
610-682-4331

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
205 HOME RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MERTZTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19539-9044
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-682-4333
Provider Business Practice Location Address Fax Number:
610-682-4331
Provider Enumeration Date:
06/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SASSAMAN
Authorized Official First Name:
JEREMIAH
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
610-682-4333

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1506376 . This is a "GATEWAY HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 285977 . This is a "HIGHMARK BLUE SHIELF" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 50002920 . This is a "SENIOR BLUE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 99131 . This is a "HEALTH AMERICAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000133382 . This is a "UNISON HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0020649000 . This is a "INDEPENCENCE BLUE CROSS/PERSONAL CHOICE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 30028383 . This is a "KEYSTONE FIRST" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1096307 . This is a "COMBINED INSURANCE OF AMERICAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0020649000 . This is a "KEYSTONE HEALTH PLAN EAST" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 100046200601 . This is a "AMERICHOICE OF NY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1007717 . This is a "AMERIHEALTH CARITAS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0020649000 . This is a "AMERIHEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 50002920 . This is a "CAPITAL BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000462006 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: X003737601 . This is a "AMERICHOICE OF PA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0012989320001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30478 . This is a "GEISINGER HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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