Med Stat Ambulance LP

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MED STAT AMBULANCE LP

Practice address

465 E Chestnut St
Hazleton, PA 18201-6711

Phone

(570) 861-8511

NPI assigned

May 1, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Tamara Lyn Blaschak, EMT-PARAMEDIC

Title

President/General Manager

Phone

(570) 449-8167

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1083024871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 E CHESTNUT ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016711",
            "telephone_number": "570-861-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 E CHESTNUT ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016711",
            "telephone_number": "570-861-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED STAT AMBULANCE LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "BLASCHAK",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "PRESIDENT/GENERAL MANAGER",
        "authorized_official_telephone_number": "570-449-8167",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "EMT-PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ann McGill, LMFT
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• Darren Mena, PA-C
• Michael a. Washinsky, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.