Pike County Advanced Life Support Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PIKE COUNTY ADVANCED LIFE SUPPORT INC

Practice address

149 Sawkill Ave
Milford, PA 18337-1141

Phone

(570) 296-2580

Fax

(570) 832-2164

NPI assigned

Jul 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Lou Corbett

Title

President

Phone

(570) 828-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1023030939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 384",
            "city": "DINGMANS FERRY",
            "state": "PA",
            "postal_code": "183280384",
            "telephone_number": "570-296-2580",
            "fax_number": "570-832-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 SAWKILL AVE",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183371141",
            "telephone_number": "570-296-2580",
            "fax_number": "570-832-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE COUNTY ADVANCED LIFE SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-828-2225"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015389420002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Peters
• Danielle Petersen, COTA
• Kelly Petersen, DPT
• Donnamarie Piazza, LCSW
• Stephanie Pieros, M.S., CCC-SLP
• Jose L Pino-Y-Torres, M.D.
• Pocono Medical Care Inc.
• Stephanie Lynn Porowski, AU.D
• Elizabeth Ann Povanda, M.A., CCC-SLP
• Progressive Health of Pennsylvania Inc.

• Land Ambulance in Milford, PA
• Providers in Milford, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.