PINE GROVE COMMUNITY AMBULANCE ASSOCIATION (NPI# 1023147931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023147931 |
| Entity Type | Organization |
| Organization Name | PINE GROVE COMMUNITY AMBULANCE ASSOCIATION |
| Practice Address |
46 Spruce Street Pine Grove PA 17963-1715 |
| Mailing Address |
Po Box 539 Mechanicsburg PA 17055-0539 |
| Practice Telephone | 5703453004 |
| Practice Fax Number | 5703456621 |
| Mailing Telephone | 7177281690 |
| Mailing Fax Number | 7177281690 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2010-07-02 |
| Authorized Official Name | MR. DAVID T. LUKASEWICZ (PRESIDENT) |
| Authorized Official Telephone | 5706174002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0007646410002 | 05 |
| Street Address |
46 SPRUCE STREET |
| City | PINE GROVE |
| State | PA |
| Zip Code | 17963-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669834990 | Nannette Leganza | Pharmacist | 300 Hollywood Bvd, Orwigsburg, PA 17963 | 2016-03-25 |
| 1215267968 | Kim Bracey | Case Manager/Care Coordinator | 1359 Sweet Arrow Lake Road, Pine Grove, PA 17963 | 2009-12-31 |
| 1619177953 | Melanie Marie Dennis | Physical Therapist | 207 Pine Crest Village Drive, Pine Grove, PA 17963 | 2007-07-24 |
| 1821298597 | Kathy Ann Bowers | Occupational Therapy Assistant | 27 Lakefront Drive, Pine Grove, PA 17963 | 2007-07-20 |
| 1023145364 | James E Klebe | Psychologist | 301 Tow Path Lane, Pine Grove, PA 17963 | 2007-02-27 |
| 1215962089 | Charlene A Morgan | Physical Therapist | 24 Hikes Hollow Road, Pine Grove, PA 17963 | 2006-07-11 |
| 1427094598 | Harcharn S Mangat | Dentist | 210 S Tulpehocken St, Pine Grove, PA 17963 | 2006-06-20 |
| 1750637187 | William J Huy | Pharmacist | 101 S Tulpehocken St, Pine Grove, PA 17963 | 2012-08-03 |
| 1972528024 | West Schuylkill Physical Therapy Services, P.C. | Physical Therapist | 8 Oak Grove Rd, Suite 3, Pine Grove, PA 17963 | 2006-07-12 |
| 1003871922 | William Joseph Halko | Physical Therapist | 8 Oak Grove Rd, Ste 3, Pine Grove, PA 17963 | 2006-04-20 |
| Find all providers in zip 17963 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1336615533 | Marklo Ems Transport | Ambulance | 313 Indigo Way, Allentown, PA 18104-8422 | 2018-10-16 |
| Find all providers with the same taxonomy | ||||
| City | PINE GROVE |
| Zip Code | 17963 |
Please comment or provide details below to improve the information on PINE GROVE COMMUNITY AMBULANCE ASSOCIATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.