MANCHESTER AMBULANCE CLUB (NPI# 1629077474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629077474 |
| Entity Type | Organization |
| Organization Name | MANCHESTER AMBULANCE CLUB |
| Other Organization Name | NORTHEASTERN AREA EMS |
| Practice Address |
10 Devco Drive Manchester PA 17345 |
| Practice Telephone | 7172665736 |
| Practice Fax Number | 7172660295 |
| Mailing Telephone | 7172660272 |
| Mailing Fax Number | 7172660295 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | KELLY A ALTLAND (PRESIDENT) |
| Authorized Official Telephone | 7172665736 |
| 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 | 0010817100007 | 05 |
| Other Name | Type Code |
|---|---|
| Northeastern Area EMS | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MANCHESTER AMBULANCE CLUB | 10 Devco Dr, Manchester, PA 17345-1356 |
| Street Address |
10 DEVCO DRIVE |
| City | MANCHESTER |
| State | PA |
| Zip Code | 17345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447798426 | Mainline Urgent Care Medical Group | Clinic/Center | 4050 North George Street Ext, Manchester, PA 17345 | 2017-02-09 |
| 1710395751 | Nicole Curtis | Hearing Instrument Specialist | 4316 N George S Suit 8, Manchester, PA 17345 | 2014-07-22 |
| 1891922506 | Danielle Nicole Campbell | Family Medicine | 235 Rosedale Dr, Manchester, PA 17345 | 2009-06-19 |
| 1295793123 | Thomas G Roth | Family Medicine | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2006-05-02 |
| 1902405194 | Jennifer Lyn Small | Occupational Therapist | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-10-20 |
| 1790304392 | Michelle Benton | Physical Therapy Assistant | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-14 |
| 1558980755 | Corissa Borrell | Occupational Therapy Assistant | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-09 |
| 1568091734 | Rachael Miller | Physical Therapy Assistant | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-08 |
| 1326677493 | Heather Barr | Speech-Language Pathologist | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-02 |
| 1528697695 | Nicholas Gohn | Physical Therapist | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-02 |
| Find all providers in zip 17345 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962642520 | Manchester Village | Ambulance | 405 E. 5th St., Manchester, OH 45144 | 2009-02-23 |
| 1699851683 | West County Ems and Fire Protection District | Ambulance | 223 Henry Ave, Manchester, MO 63011-4019 | 2006-10-31 |
| 1801991724 | Manchester Firemens Benefit Association | Ambulance | 405 E 5th St, Manchester, OH 45144-1414 | 2006-09-14 |
| 1063529741 | Ambulance Service of Manchester, LLC | Ambulance | 275 New State Rd, Manchester, CT 06042-1810 | 2006-08-25 |
| 1780641035 | Clay County Fiscal Court | Ambulance | 115 Court St, Manchester, KY 40962 | 2006-04-28 |
| 1437151040 | Safety Resources Group Ems Inc | Ambulance | 250 Commercial St, Suite 1014, Manchester, NH 03101-1142 | 2005-08-12 |
| 1750380978 | County of Coffee Office of County Executive | Ambulance | 1100 Madison Street, Manchester, TN 37355-2224 | 2005-07-19 |
| 1639702368 | Manchester Township | Ambulance | 1 Colonial Dr, Manchester, NJ 08759-6501 | 2020-02-21 |
| 1235208422 | Delaware County Memorial Hospital | Ambulance | 709 W Main St, Manchester, IA 52057-1526 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538784194 | Constant Medical Response, Inc | Ambulance | 780 Falcon Cir Ste 122, Warminster, PA 18974-5130 | 2020-06-10 |
| 1477183515 | Emergency Medical Transport Solutions, LLC | Ambulance | 29 Grayson View Ct, Selinsgrove, PA 17870-8347 | 2020-01-16 |
| 1982244554 | East Erie County Emergency Medical Services Corporation | Ambulance | 5601 Buffalo Rd, Harborcreek, PA 16421-1625 | 2020-01-13 |
| 1548810054 | Medicteam LLC | Ambulance | 55 New St Ste 20, Ephrata, PA 17522-2815 | 2019-09-17 |
| 1639735830 | Precise Medical Response | Ambulance | 6118 Glenloch St, Philadelphia, PA 19135-3613 | 2019-05-13 |
| 1558926758 | S & S Medical Transport LLC | Ambulance | 1608 Colonial Cir, Lebanon, PA 17046-1964 | 2019-05-03 |
| 1811552136 | Ambulnz Pa, LLC | Ambulance | 154 Hansen Access Rd, King of Prussia, PA 19406-2404 | 2019-05-02 |
| 1134681786 | Starbrick Volunteer Fire Department | Ambulance | 5 Firemans St, Warren, PA 16365-3701 | 2019-04-03 |
| 1336612415 | Landisburg Ems Inc | Ambulance | 301 Faculty Ave, Landisburg, PA 17040-0122 | 2019-01-10 |
| 1336615533 | Marklo Ems Transport | Ambulance | 313 Indigo Way, Allentown, PA 18104-8422 | 2018-10-16 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 17345 |
Please comment or provide details below to improve the information on MANCHESTER AMBULANCE CLUB.
| 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.