Provider Demographics
NPI:1528054699
Name:HANOVER TOWNSHIP COMMUNITY AMBULANCE ASSOCIATION INC
Entity type:Organization
Organization Name:HANOVER TOWNSHIP COMMUNITY AMBULANCE ASSOCIATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL SEC
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:D
Authorized Official - Last Name:RINKEVICH
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:570-822-4213
Mailing Address - Street 1:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105-0207
Mailing Address - Country:US
Mailing Address - Phone:800-473-2278
Mailing Address - Fax:484-664-2015
Practice Address - Street 1:1001 CENTER ST
Practice Address - Street 2:
Practice Address - City:HANOVER TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18706-5034
Practice Address - Country:US
Practice Address - Phone:570-825-1266
Practice Address - Fax:570-970-9830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA041883416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA208815OtherBC BS OF PA BLUE SHIELD
PA0497OtherQUALMED
0585780OtherAETNA USHC BLUE BELL HMO
811093OtherUMWA HEALTH & RETIREMENT
P032492OtherTRI CARE MID ATL
PA0497OtherACS HEALTH NET HMO MDC
PA0014373480003Medicaid
P032492OtherTRI CARE NORTHEAST
PA0497OtherPHS HEALTH PLAN HMO MDC
081109300OtherFEDERAL BLACK LUNG
PA0497OtherACS HEALTH NET COMMERCIAL
077535OtherFIRST PRIORITY HEALTH
PA0497OtherPHS HEALTH PLAN COMMERCIA
PA0497OtherACS HEALTH NET COMMERCIAL
PA208815Medicare PIN