Pennsylvania Ambulance LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

PENNSYLVANIA AMBULANCE LLC

Practice address

1000 Dunham Dr
Dunmore, PA 18512-2666

Phone

(570) 558-1212

Fax

(570) 558-1213

NPI assigned

Sep 17, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Bruce W Beauvais, EMT-P

Title

Operations Manager

Phone

(570) 558-1212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven J. Brunetti, D.O., FACEP

  • Emergency Medicine Physician
  • Scranton, PA
  • NPI 1447224209
  NPD (past)
• Christopher Donohue, MD

  • Emergency Medicine Physician
  • Dunmore, PA
  • NPI 1922036953
  NPD (past)

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1124454566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DUNHAM DR",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122666",
            "telephone_number": "570-558-1212",
            "fax_number": "570-558-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DUNHAM DR",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122666",
            "telephone_number": "570-558-1212",
            "fax_number": "570-558-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "BEAUVAIS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "570-558-1212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roshani Suman Patel-Chludzinski
• Deep Hiteshkumar Patel
• Pathology Associates of NE PA LTD
• Catherine Michael Patrick, DO
• Kimberly Anne Patton, M.S., CADC
• Pennsylvania CVS Pharmacy, L.L.C.
• Taylor Perry, D.C.
• Christopher Albert Peters, MD
• Andrea Mary Petitto Long, PHARMD
• PHHC Scranton Hospice, LLC

• All providers in Dunmore, PA
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.