Lackawanna Ambulance, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

04164 Issued in PA

Legal business name

LACKAWANNA AMBULANCE, INC

Practice address

1000 Remington Ave
Scranton, PA 18505-1118

Phone

(570) 207-5200

Fax

(570) 207-5266

NPI assigned

Sep 22, 2006

Last updated

Sep 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Sean Buckman

Title

President Ceo

Phone

(570) 207-5200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1720187966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REMINGTON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185051118",
            "telephone_number": "570-207-5200",
            "fax_number": "570-207-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 REMINGTON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185051118",
            "telephone_number": "570-207-5200",
            "fax_number": "570-207-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACKAWANNA AMBULANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "BUCKMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "570-207-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Anthony Kutz, M.D.
• Sherill Rivera Kwiatkowski, RN
• Karah Laboranti, PA-C
• Ervin Leigh Labrador, CRNA
• Kelle Lach, CRNP
• Lackawanna Emergency Group PC
• Lackawanna Medical Group PC
• Lackawanna Surgery Center LLC
• Lackawanna Valley Dermatology Associates Limited
• Lackawanna/Susquehanna Office of Drug and Alcohol Programs

• Ambulance in Scranton, PA
• Providers in Scranton, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.