Basic Information
| Provider Information | |||||||||
| NPI: | 1487791174 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WARRINGTON COMMUNITY AMBULANCE CORP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 207 | ||||||||
| Address2: | |||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181050207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4846642007 | ||||||||
| FaxNumber: | 4846642015 | ||||||||
| Practice Location | |||||||||
| Address1: | 1140 EASTON ROAD | ||||||||
| Address2: | |||||||||
| City: | WARRINGTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 18976 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2153433469 | ||||||||
| FaxNumber: | 4846642015 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2007 | ||||||||
| LastUpdateDate: | 10/23/2012 | ||||||||
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| AuthorizedOfficialLastName: | SCHOLL | ||||||||
| AuthorizedOfficialFirstName: | MARK | ||||||||
| AuthorizedOfficialMiddleName: | A. | ||||||||
| AuthorizedOfficialTitleorPosition: | CHIEF OF OPERATIONS | ||||||||
| AuthorizedOfficialTelephone: | 2672282833 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3416L0300X | 03165 | PA | Y | Transportation Services | Ambulance | Land Transport |
ID Information
| ID | Type | State | Issuer | Description | 1006435 | 01 | PA | KEYSTONE MERCY | OTHER | 0007036550007 | 05 | PA | MEDICAID |