Active NPI
Bradford Area Transport Service, LLC
- Land Ambulance
- Bradford, PA
National Provider Identifier
1093953176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 09002
- Legal business name
- BRADFORD AREA TRANSPORT SERVICE, LLC
- Practice address
- 17 Holley Ave
Bradford, PA 16701-1809 - Phone
- (814) 598-2089
- Fax
- (814) 368-8460
- NPI assigned
- Jan 28, 2009
- Last updated
- Sep 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sally Lynn Scrivo, EMT
- Title
- President
- Phone
- (814) 598-1392
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 09002 | PA | Primary |
Addresses
Primary practice location
17 Holley Ave
Bradford, PA 16701-1809
Mailing address
17 Holley Ave
Bradford, PA 16701-1809
Phone (814) 598-2089
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03103179 | Medicaid | NY | |
| P00688496 | Other | RAILROAD MEDICARE | |
| 102254327 | Medicaid | PA | |
| 2092305 | Other | PA | HIGHMARK BLUE CROSS/BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
17 Holley Ave
Bradford, PA 16701
Phone (814) 598-2089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411948800000",
"number": "1093953176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 HOLLEY AVE",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167011809",
"telephone_number": "814-598-2089",
"fax_number": "814-368-8460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 HOLLEY AVE",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167011809",
"telephone_number": "814-598-2089",
"fax_number": "814-368-8460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRADFORD AREA TRANSPORT SERVICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-28",
"last_updated": "2014-09-29",
"status": "A",
"authorized_official_last_name": "SCRIVO",
"authorized_official_first_name": "SALLY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-598-1392",
"authorized_official_credential": "EMT"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "09002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03103179",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00688496",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102254327",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE CROSS/BLUE SHIELD",
"identifier": "2092305",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.