Organization Active NPI

Greater Columbia Medical Transport Service, LLP

  • Ambulance
  • Bloomsburg, PA
National Provider Identifier
1396862967
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
05172 Issued in PA
Legal business name
GREATER COLUMBIA MEDICAL TRANSPORT SERVICE, LLP
Practice address
1469 Old Berwick Rd
Bloomsburg, PA 17815-3027
Phone
(570) 389-0751
Fax
(570) 389-0349
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Lee Vincent Rosato
Title
Managing Partner'S Representative
Phone
(570) 389-1402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 05172 PA Primary

Addresses

Primary practice location

1469 Old Berwick Rd
Bloomsburg, PA 17815-3027

Mailing address

1469 Old Berwick Rd
Bloomsburg, PA 17815-3027
Phone (570) 389-0751

Other identifiers 1

IdentifierTypeStateIssuer
01759664MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120502000034 PA Part B Supplier - Ambulance Service Supplier 9436311875 Practice locations: Bloomsburg, PA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1 S Hospital Dr
Bloomsburg, PA 17815
Phone (570) 207-6746

1469 Old Berwick Rd
Bloomsburg, PA 17815
Phone (570) 389-0751

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1396862967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 OLD BERWICK RD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178153027",
            "telephone_number": "570-389-0751",
            "fax_number": "570-389-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 OLD BERWICK RD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178153027",
            "telephone_number": "570-389-0751",
            "fax_number": "570-389-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER COLUMBIA MEDICAL TRANSPORT SERVICE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "ROSATO",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "MANAGING PARTNER'S REPRESENTATIVE",
        "authorized_official_telephone_number": "570-389-1402"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "05172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01759664",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.