Mahanoy City Emergency Medical Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04294 Issued in PA

Legal business name

MAHANOY CITY EMERGENCY MEDICAL INC

Practice address

212 W Centre St
Mahanoy City, PA 17948-2506

Phone

(570) 773-2238

Fax

(570) 773-0502

NPI assigned

Jul 14, 2005

Organization subpart

No

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

Authorized official

Name

Robert Wagner

Title

Treasurer

Phone

(570) 773-2238

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Mark Kufrovich, MSPT

  • Physical Therapist
  • Mahanoy City, PA
  • NPI 1124663273
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336147131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170700726",
            "telephone_number": "717-214-6018",
            "fax_number": "717-214-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W CENTRE ST",
            "city": "MAHANOY CITY",
            "state": "PA",
            "postal_code": "179482506",
            "telephone_number": "570-773-2238",
            "fax_number": "570-773-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHANOY CITY EMERGENCY MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "570-773-2238"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Kufrovich, MSPT
• Kevin Lally, LSW
• Joseph C. Lobichusky, DDS
• Mychaellah Marie Lucas, M.S. CCC-SLP
• Mahanoy Area School District
• Beverly Ann Martin
• Milefsky Chiropractic PC
• Daniel W Milefsky Jr., D.C.
• Lorraine A Montoni, RPH
• Carolyn Marie Petterson, AAC

• Land Ambulance in Mahanoy City, PA
• Providers in Mahanoy City, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.