MEDICARE: SUGARCREEK TOWNSHIP AMBULANCE SERVICE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	300935	PA
2	3416L0300X	Land Ambulance	03215	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1020635	OTHER	PA	GATEWAY HEALTH PLAN
3	253143	OTHER	PA	UPMC HEALTH PLAN

General Provider Information

NPI Number	:	1629145677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUGARCREEK TOWNSHIP AMBULANCE SERVICE INC.

Provider Business Mailing Address
First Line	:	PO BOX 18537
Second Line	:
City	:	PLEASANT HILLS
State	:	PA
Zip	:	15236-0537
Country	:	US
Telephone Number	:	800-521-0671
Fax Number	:	724-234-4703

Provider Business Practice Location Address
First Line	:	2030 STATE ROUTE 268
Second Line	:
City	:	EAST BRADY
State	:	PA
Zip	:	16028-2528
Country	:	US
Telephone Number	:	724-526-5227
Fax Number	:	724-526-5910

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. MICHAEL BARRETT
Credential	:	EMT-P
Telephone Number	:	724-234-8880

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	10/06/2025

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