Provider Demographics
NPI:1740276716
Name:MARPLE TOWNSHIP AMBULANCE CORP
Entity type:Organization
Organization Name:MARPLE TOWNSHIP AMBULANCE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GORSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-356-1639
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 1:8 N MALIN RD
Practice Address - Street 2:
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-1807
Practice Address - Country:US
Practice Address - Phone:610-356-1639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
PA040703416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
07939OtherHEALTH PARTNERS HMO DPA
0X00PB3806OtherPHS HEALTH PLAN HMO MDC
0X00PB3806OtherACS HEALTH NET HMO MDC
280832OtherBCBS OF PA BLUE SHIELD
0X00PB3806OtherPHS HEALTH PLAN COMM
1046069OtherKEYSTONE MERCY HMO DPA
0005397OtherAETNA USHC BLUE BELL HMO
PA0016063330006Medicaid
0X00PB3806OtherQAULMED
0X00PB3806OtherACS HEALTH NET COMMERCIAL
F461108OtherOXFORD HEALTH PLAN
PA0016063330001Medicaid
280832OtherBCBS OF PA BLUE SHIELD