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ICKESBURG AMBULANCE ASSOCIATION
NPI 1023179132
Emergency Medical Technician, Basic in Ickesburg, PA

Active since December 12, 2006
10350 RACCOON VALLEY RD, ICKESBURG, PA 17037(717) 438-3113 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ickesburg Ambulance Association NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICKESBURG AMBULANCE ASSOCIATION (NPI 1023179132) is a healthcare organization registered as an emergency medical technician, basic in Ickesburg, Pennsylvania and active in the NPI registry since December 2006. The organization lists Shane M Wolf, President, as its authorized official.

NPPES Registry Identity

NPI1023179132
Entity TypeOrganization
Primary Taxonomy146N00000X
Legal Business NameICKESBURG AMBULANCE ASSOCIATION
Location Address10350 RACCOON VALLEY RDIckesburg, PA 17037
Mailing AddressPo Box 163Ickesburg, PA 17037-0163 · (717) 438-3113
Phone(717) 438-3113
Organization SubpartNo
Authorized OfficialShane M WolfPresident · (717) 438-0384
Enumeration DateDecember 12, 2006
Last NPPES UpdateFebruary 10, 2012
✔ NPI 1023179132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
License✔ Licensed in PA · 04274
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
10350 RACCOON VALLEY RD, Ickesburg, PA 17037
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Other Identifiers 2

Medicare ID-Type Unspecified224017PA
Medicaid001437455PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ickesburg Ambulance Association's NPI number?

The NPI number for Ickesburg Ambulance Association is 1023179132. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Ickesburg Ambulance Association located?

Ickesburg Ambulance Association is located at 10350 Raccoon Valley Rd, Ickesburg, PA 17037. The listed phone number is (717) 438-3113.

What is Ickesburg Ambulance Association's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Basic with taxonomy code 146N00000X.

When was this NPI record last updated?

The NPPES record for Ickesburg Ambulance Association was last updated on February 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.