Active NPI
Greater Columbia Medical Transport Service, LLP
- Ambulance
- Bloomsburg, PA
National Provider Identifier
1396862967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 05172
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01759664 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120502000034 | PA | Part B Supplier - Ambulance Service Supplier | 9436311875 | Practice locations: Bloomsburg, PA |
National Provider Directory
National Provider DirectoryMember 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.
-
- Surgery Physician
- Bloomsburg, PA
- NPI 1326017112
-
- Surgery Physician
- Bloomsburg, PA
- NPI 1316998065
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.