Forest City Area Emergency Services Inc
Organization Active NPI Land Ambulance · Forest City, PA
NPI 1285945121 · NPPES record last updated Oct 28, 2011
Key facts
- NPI
- 1285945121
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- FOREST CITY AREA EMERGENCY SERVICES INC
- Practice address
- 380 Railroad St
Forest City, PA 18421-1100 - Phone
- (570) 785-5025
- Fax
- (570) 785-2369
- NPI assigned
- Jun 25, 2010
- Organization subpart
- No
Authorized official
- Name
- Thomas J Prince
- Title
- President
- Phone
- (570) 785-5025
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2146775 | Forest City Area Emergency Services, Inc | Certificate of waiver | Apr 4, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101004000390 | PA | Part B Supplier - Ambulance Service Supplier | 9335331800 | Practice locations: Forest City, PA |
National Provider Directory
Locations
380 Railroad St
Forest City, PA 18421
Phone (570) 785-3837
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
380 Railroad St
Forest City, PA 18421-1100
Mailing address
PO Box 151
Forest City, PA 18421-0151
Phone (570) 785-5025
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025210910001 | Medicaid | PA |
Other providers in Forest City, PA
- Rebecca J Defrancesco
- Electric City Dental Group
- Fcnrc, LP
- Kristine A Fell
- Penny Jayne Ford
- Forest City Area Volunteer Ambulance Association
- Forest City Care Continuum LLC
- Forest City Center for Nursing and Rehabilitation LLC
- Forest City Regional School District
- Genco Dental Care, PC
All providers in Forest City, PA · Land Ambulance in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.