Provider Demographics
NPI:1780625194
Name:TOPTON COMMUNITY AMBULANCE
Entity type:Organization
Organization Name:TOPTON COMMUNITY AMBULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEREMIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SASSAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-682-4333
Mailing Address - Street 1:PO BOX 22
Mailing Address - Street 2:
Mailing Address - City:TOPTON
Mailing Address - State:PA
Mailing Address - Zip Code:19562-0022
Mailing Address - Country:US
Mailing Address - Phone:610-682-4333
Mailing Address - Fax:610-682-4331
Practice Address - Street 1:205 HOME RD
Practice Address - Street 2:
Practice Address - City:MERTZTOWN
Practice Address - State:PA
Practice Address - Zip Code:19539-9044
Practice Address - Country:US
Practice Address - Phone:610-682-4333
Practice Address - Fax:610-682-4331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1506376OtherGATEWAY HEALTH PLAN
PA285977OtherHIGHMARK BLUE SHIELF
PA50002920OtherSENIOR BLUE
PA99131OtherHEALTH AMERICAN
PA000000133382OtherUNISON HEALTH PLAN
PA0020649000OtherINDEPENCENCE BLUE CROSS/PERSONAL CHOICE
PA30028383OtherKEYSTONE FIRST
PA1096307OtherCOMBINED INSURANCE OF AMERICAN
PA0020649000OtherKEYSTONE HEALTH PLAN EAST
100046200601OtherAMERICHOICE OF NY
PA1007717OtherAMERIHEALTH CARITAS
PA0020649000OtherAMERIHEALTH
PA50002920OtherCAPITAL BLUE CROSS
PA000462006OtherUNITED HEALTHCARE
PAX003737601OtherAMERICHOICE OF PA
PA0012989320001Medicaid
PA30478OtherGEISINGER HEALTH PLAN
PA50002920OtherSENIOR BLUE
PA99131OtherHEALTH AMERICAN