South Central Emergency Medical Services, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03164 Issued in PA

Legal business name

SOUTH CENTRAL EMERGENCY MEDICAL SERVICES, INC.

Practice address

8065 Allentown Blvd
Harrisburg, PA 17112-9796

Phone

(717) 671-4020

Fax

(717) 671-4026

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jason Quinn Campbell, NRCCEMTP

Title

Chief/C.E.O.

Phone

(717) 671-4020

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• South Central EMS, Inc. Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1063567196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8065 ALLENTOWN BLVD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129796",
            "telephone_number": "717-671-4020",
            "fax_number": "717-671-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8065 ALLENTOWN BLVD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129796",
            "telephone_number": "717-671-4020",
            "fax_number": "717-671-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL EMERGENCY MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "QUINN",
        "authorized_official_title_or_position": "CHIEF/C.E.O.",
        "authorized_official_telephone_number": "717-671-4020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NRCCEMTP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010078200006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS PROVID",
            "identifier": "039EA11",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Central EMS, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.