Organization Active NPI

Regional Emergency Support Quick Response Service LLC

Doing business as Resqrs

  • Land Ambulance
  • Georgetown, PA
National Provider Identifier
1679132856
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
REGIONAL EMERGENCY SUPPORT QUICK RESPONSE SERVICE LLC
Doing business as
Resqrs
Practice address
1324 State Route 168
Georgetown, PA 15043
Phone
(124) 859-7377
Fax
(724) 234-4703
NPI assigned
Jun 11, 2019
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Ryan Cobern
Title
Owner
Phone
(412) 859-7377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1324 State Route 168
Georgetown, PA 15043

Mailing address

PO Box 18533
Pittsburgh, PA 15236-0533
Phone (800) 240-6365

Other practice location 1

60 Allegheny County Airport
West Mifflin, PA 15122-2673
Phone (412) 859-7377

Other identifiers 1

IdentifierTypeStateIssuer
1036714040001MedicaidPA

Other names 1

  • RESQRS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190703001389 PA Part B Supplier - Ambulance Service Supplier 5890032304 Practice locations: West Mifflin, PA

National Provider Directory

National Provider Directory

Locations

20436 Route 19
Ste 2620
Cranberry Twp, PA 16066

20436 Route 19
Ste 620
Cranberry Twp, PA 16066

60 Allegheny County Airport
West Mifflin, PA 15122
Phone (412) 859-7377

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1679132856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18533",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152360533",
            "telephone_number": "800-240-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 STATE ROUTE 168",
            "city": "GEORGETOWN",
            "state": "PA",
            "postal_code": "15043",
            "telephone_number": "124-859-7377",
            "fax_number": "724-234-4703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Allegheny County Airport",
            "address_purpose": "LOCATION",
            "city": "West Mifflin",
            "state": "PA",
            "postal_code": "151222673",
            "country_code": "US",
            "telephone_number": "412-859-7377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGIONAL EMERGENCY SUPPORT QUICK RESPONSE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "COBERN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-859-7377"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036714040001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RESQRS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RESQRS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.