MEDICARE: MACUNGIE AMBULANCE CORP

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	341600000X	Ambulance	03289	PA
2	3416L0300X	Land Ambulance

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

General Provider Information

NPI Number	:	1881643278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MACUNGIE AMBULANCE CORP

Provider Business Mailing Address
First Line	:	5550 N WALNUT ST
Second Line	:	P.O.BOX 114
City	:	MACUNGIE
State	:	PA
Zip	:	18062-1323
Country	:	US
Telephone Number	:	610-966-2601
Fax Number	:	610-966-1561

Provider Business Practice Location Address
First Line	:	5550 N WALNUT ST
Second Line	:
City	:	MACUNGIE
State	:	PA
Zip	:	18062-1323
Country	:	US
Telephone Number	:	610-966-2601
Fax Number	:	610-966-1561

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. CHRISTOPHER GREB
Credential	:
Telephone Number	:	610-966-2601

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	11/15/2022

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Directions to “MACUNGIE AMBULANCE CORP ” Practice Location

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