Bradford Z Stat Ambulance, LLC.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

100069992/000 Issued in PA

Legal business name

BRADFORD Z STAT AMBULANCE, LLC.

Practice address

123 S Kendall Ave
Bradford, PA 16701-3617

Phone

(814) 598-1392

Fax

(814) 368-8460

NPI assigned

Aug 27, 2007

Last updated

Dec 17, 2008By 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

Mrs. Sally Lynn Scrivo

Title

Office Manager

Phone

(814) 598-1392

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1720271364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S KENDALL AVE",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013617",
            "telephone_number": "814-598-1392",
            "fax_number": "814-368-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S KENDALL AVE",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013617",
            "telephone_number": "814-598-1392",
            "fax_number": "814-368-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD Z STAT AMBULANCE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "SCRIVO",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-598-1392",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "100069992/000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02942267",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102039660",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "2030653",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00457313",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradford PA Opco LLC
• Bradford Radiology PC
• Bradford Regional Medical Center (McKean County VNA & Hospice)
• Bradford Regional Medical Center (McKean County Visting Nurse Association)
• Bradford Regional Medical Services
• Bradford Z-Stat
• Blake Bradish, DPT
• John Breznik, MD
• BRMS OB/GYN
• Andrew Mark Brodis, DMD

• Land Ambulance in Bradford, PA
• Providers in Bradford, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.