Provider Demographics
NPI:1992797765
Name:WARWICK COMMUNITY AMBULANCE ASSOCIATION
Entity type:Organization
Organization Name:WARWICK COMMUNITY AMBULANCE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:KENAVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-626-1200
Mailing Address - Street 1:PO BOX 42
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-0042
Mailing Address - Country:US
Mailing Address - Phone:717-626-1200
Mailing Address - Fax:717-627-0728
Practice Address - Street 1:151 NORTH LN
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-1505
Practice Address - Country:US
Practice Address - Phone:717-626-1200
Practice Address - Fax:717-627-0728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA051893416L0300X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000746554Medicaid
PA280670Medicare ID - Type Unspecified