Organization Active NPI

Loyalsock Mobility Services LLC

  • Durable Medical Equipment & Medical Supplies
  • Williamsport, PA
National Provider Identifier
1407901739
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LOYALSOCK MOBILITY SERVICES LLC
Practice address
607 Pine St
Williamsport, PA 17701-5014
Phone
(570) 326-3431
Fax
(570) 505-1389
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Mr. Stephen A. Russell
Title
Owner
Phone
(570) 326-3431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

607 Pine St
Williamsport, PA 17701-5014

Mailing address

607 Pine St
Williamsport, PA 17701-5014
Phone (570) 326-3431

Other identifiers 2

IdentifierTypeStateIssuer
1026606940001MedicaidPA
681906OtherPAADVANTRA FREEDOM

National Provider Directory

National Provider Directory

Locations

519 Pine St
Ste 1
Williamsport, PA 17701
Phone (570) 326-3431

607 Pine St
Williamsport, PA 17701
Phone (570) 326-3431

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1407901739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 PINE ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015014",
            "telephone_number": "570-326-3431",
            "fax_number": "570-505-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 PINE ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015014",
            "telephone_number": "570-326-3431",
            "fax_number": "570-505-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYALSOCK MOBILITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-326-3431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026606940001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA FREEDOM",
            "identifier": "681906",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.