Tunkhannock Community Ambulance Assoc Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

04026 Issued in PA

Legal business name

TUNKHANNOCK COMMUNITY AMBULANCE ASSOC INC

Practice address

195 Bridge Street
Tunkhannock, PA 18657

Phone

(570) 836-5344

Fax

(570) 836-0120

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Arthur Stacy Huber

Title

President Chief

Phone

(570) 836-5344

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1104851427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18105",
            "telephone_number": "484-664-2007",
            "fax_number": "484-664-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 BRIDGE STREET",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "18657",
            "telephone_number": "570-836-5344",
            "fax_number": "570-836-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUNKHANNOCK COMMUNITY AMBULANCE ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "STACY",
        "authorized_official_title_or_position": "PRESIDENT CHIEF",
        "authorized_official_telephone_number": "570-836-5344"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007603200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda M Tohme, SLP
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• Tunkhannock Rehabilitation & Health Care Center Operating Company LLC (Tunkhannock Rehabilitation & Health Care Center)
• Colleen Kimberly Ulitchney, MSPT

• Ambulance in Tunkhannock, PA
• Providers in Tunkhannock, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.