South Creek Ambulance Assn Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTH CREEK AMBULANCE ASSN INC

Practice address

33338 Route 14
Gillett, PA 16925-8838

Phone

(570) 596-7844

Fax

(724) 887-9440

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Marion Pfeiffer

Title

Treasurer

Phone

(570) 596-7844

Specialties & licenses 1

Addresses

Other identifiers 2

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

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1184630980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831141",
            "telephone_number": "724-887-6822",
            "fax_number": "724-887-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33338 ROUTE 14",
            "city": "GILLETT",
            "state": "PA",
            "postal_code": "169258838",
            "telephone_number": "570-596-7844",
            "fax_number": "724-887-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CREEK AMBULANCE ASSN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "PFEIFFER",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "570-596-7844"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008873560004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02522576",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Krause, LPN
• Tina Michelle Lafritz
• Martha Lloyd Community Residential Facility
• Martha Lloyd CRF Fla Gillett
• Lisa Kay Owen, LPN
• Alisha Mo Tenbus, PT
• Tri-Township Ambulance Association
• Wendy S. Kraemer Bcba LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.