Scott Township Hose Company

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04134 Issued in PA

Legal business name

SCOTT TOWNSHIP HOSE COMPANY

Practice address

1027 Montdale Road
Scott Township, PA 18447-9785

Phone

(570) 254-6666

Fax

(570) 254-6138

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Pritchyk

Title

President

Phone

(570) 254-6666

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1508892753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 MONTDALE ROAD",
            "city": "SCOTT TOWNSHIP",
            "state": "PA",
            "postal_code": "184479785",
            "telephone_number": "570-254-6666",
            "fax_number": "570-254-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 MONTDALE ROAD",
            "city": "SCOTT TOWNSHIP",
            "state": "PA",
            "postal_code": "184479785",
            "telephone_number": "570-254-6666",
            "fax_number": "570-254-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT TOWNSHIP HOSE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "PRITCHYK",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-254-6666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010226400001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF NEPA/ACCESS CARE 2",
            "identifier": "1604587",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NEPA",
            "identifier": "998572",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "0574448",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "817840",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayci Ann Koltis, PHARM D
• Madison Macknosky, PA-C
• Maryann Muzzi, MA CCC
• Amanda Perrone, PA-C
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 03470)
• Ashley Stafford
• Lauren Terpak
• Erin Timlin, PHARMD

• Land Ambulance in Scott Township, PA
• Providers in Scott Township, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.