NPIMap

Organization Active NPI

Cottage Ambulance Inc

  • Ambulance
  • Carbondale, PA
National Provider Identifier
1306268131
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
04264 Issued in PA
Legal business name
COTTAGE AMBULANCE INC
Practice address
2 Greenfield Rd
Carbondale, PA 18407-2833
Phone
(570) 281-9776
Fax
(570) 282-5653
NPI assigned
Jan 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
Jeanne Soblesky
Title
Office Manager
Phone
(570) 281-9776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 04264 PA Primary

Addresses

Primary practice location

2 Greenfield Rd
Carbondale, PA 18407-2833

Mailing address

2 Greenfield Rd
PO Box 331
Carbondale, PA 18407-2833
Phone (570) 281-9776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140310000255 PA Part B Supplier - Ambulance Service Supplier 5597771501 Practice locations: Carbondale, PA

National Provider Directory

National Provider Directory

Locations

2 Greenfield Rd
Carbondale, PA 18407
Phone (570) 281-9776

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1306268131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GREENFIELD RD",
            "address_2": "PO BOX 331",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072833",
            "telephone_number": "570-281-9776",
            "fax_number": "570-282-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GREENFIELD RD",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072833",
            "telephone_number": "570-281-9776",
            "fax_number": "570-282-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "SOBLESKY",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-281-9776"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.