Active NPI
Keystone Quality Transport Company
- Land Ambulance
- Springfield, PA
National Provider Identifier
1548247455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 23209
- Legal business name
- KEYSTONE QUALITY TRANSPORT COMPANY
- Practice address
- 1260 E Woodland Ave
Suite 220
Springfield, PA 19064-3969 - Phone
- (610) 541-6610
- Fax
- (610) 541-6624
- NPI assigned
- Dec 30, 2005
- Last updated
- Apr 27, 2023
- 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
- Mr. Danny Platt
- Title
- Ceo
- Phone
- (610) 566-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 23209 | PA | Primary |
Addresses
Primary practice location
1260 E Woodland Ave
Suite 220
Springfield, PA 19064-3969
Mailing address
PO Box 2027
Media, PA 19063-9027
Phone (610) 541-6610
Other practice location 1
147 W High St
Elkton, MD 21921-5526
Phone (302) 888-1454
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000779015 | Medicaid | DE | |
| 8100288 | Other | EVERCARE | |
| 480235 | Other | AETNA USHC | |
| 0000116000 | Other | INDEPENDENCE BLUE CROSS | |
| 0014336160003 | Medicaid | PA | |
| 1009910 | Other | KEYSTONE MERCY HP | |
| 0143361601 | Other | AMERICHOICE OF PA | |
| 13878 | Other | HEALTH PARTNERS | |
| 191041000 | Other | MAGELLAN HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070425000036 | PA | Part B Supplier - Ambulance Service Supplier | 3375446941 | Practice locations: Springfield, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2136764 | Keystone Quality Transport | Certificate of waiver | Sep 14, 2027 |
| 39D2205221 | Keystone Quality Transport | Certificate of waiver | Dec 13, 2026 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
701 S Market St
Wilmington, DE 19801
Phone (302) 654-7870
1750 N 49th St
Philadelphia, PA 19131
Phone (215) 473-0111
1260 E Woodland Ave
Ste 220
Springfield, PA 19064
Phone (610) 541-6610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682553600000",
"number": "1548247455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2027",
"city": "MEDIA",
"state": "PA",
"postal_code": "190639027",
"telephone_number": "610-541-6610",
"fax_number": "610-541-6624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 E WOODLAND AVE",
"address_2": "SUITE 220",
"city": "SPRINGFIELD",
"state": "PA",
"postal_code": "190643969",
"telephone_number": "610-541-6610",
"fax_number": "610-541-6624"
}
],
"practiceLocations": [
{
"address_1": "147 W High St",
"address_purpose": "LOCATION",
"city": "Elkton",
"state": "MD",
"postal_code": "219215526",
"country_code": "US",
"telephone_number": "302-888-1454",
"fax_number": "610-604-1432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KEYSTONE QUALITY TRANSPORT COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-30",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A",
"authorized_official_last_name": "PLATT",
"authorized_official_first_name": "DANNY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "610-566-2200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "23209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000779015",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "8100288",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC",
"identifier": "480235",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0000116000",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014336160003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HP",
"identifier": "1009910",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE OF PA",
"identifier": "0143361601",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "13878",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH PLAN",
"identifier": "191041000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.