Bushkill Emergency Corps, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

02293 Issued in PA

Legal business name

BUSHKILL EMERGENCY CORPS, INC.

Practice address

3 Sterling Court
East Stroudsburg, PA 18302

Phone

(570) 223-1906

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Debbie Kulick

Title

President

Phone

(570) 223-1906

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1609944008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195250417",
            "telephone_number": "610-705-3979",
            "fax_number": "610-705-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 STERLING COURT",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "18302",
            "telephone_number": "570-223-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSHKILL EMERGENCY CORPS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "KULICK",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-223-1906",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "02293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010621700002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0075873000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETO GBA",
            "identifier": "441590859",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin Craig Buller, MD
• Burak Chiropractic Center
• David B. Burak, D.C.
• Bryan T Burke, M.D.
• Denise Angela Burton
• Ilene M Bustos, MA, ATR-BC, LPC
• Karen Buzzard, OTR/L, CHT
• Wayne Ernest Cacciola Jr., PHARM D
• Nikeda Campbell-Mason
• Kyle Campbell, PTA

• Land Ambulance in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.