Organization Active NPI

Susquehanna Township Emergency Medical Services, Inc.

  • Land Ambulance
  • Harrisburg, PA
National Provider Identifier
1639250301
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
22024 Issued in PA
Legal business name
SUSQUEHANNA TOWNSHIP EMERGENCY MEDICAL SERVICES, INC.
Practice address
108 Short St
Harrisburg, PA 17109-3732
Phone
(717) 545-0842
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Elliot Markovitz
Title
Executive Director
Phone
(717) 545-0842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 22024 PA Primary

Addresses

Primary practice location

108 Short St
Harrisburg, PA 17109-3732

Mailing address

108 Short St
Harrisburg, PA 17109-3732
Phone (717) 545-0842

Other identifiers 7

IdentifierTypeStateIssuer
000283280OtherPABLUE SHIELD
10730OtherPAHEALTH ASSURANCE
30791OtherPAGEISINGER HEALTH
001007614MedicaidPA
39EA05OtherPACAPITAL BLUE CROSS
590001592OtherPARAILROAD MEDICARE
902651MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120905000049 PA Part B Supplier - Ambulance Service Supplier 4981851565 Practice locations: Harrisburg, PA

National Provider Directory

National Provider Directory

Locations

108 Short St
Harrisburg, PA 17109
Phone (717) 540-7372

2625 Ailanthus Ln
Harrisburg, PA 17110
Phone (717) 373-2581

Harrisburg, PA 17110
Phone (717) 234-8840

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1639250301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SHORT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171093732",
            "telephone_number": "717-545-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SHORT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171093732",
            "telephone_number": "717-545-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA TOWNSHIP EMERGENCY MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "MARKOVITZ",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-545-0842"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "22024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000283280",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "10730",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH",
            "identifier": "30791",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001007614",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "39EA05",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590001592",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "902651",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.