Active NPI
Central PA Life Support, LLP
- Land Ambulance
- Scranton, PA
National Provider Identifier
1811015993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 00238
- Legal business name
- CENTRAL PA LIFE SUPPORT, LLP
- Practice address
- 315 S Main Ave
Scranton, PA 18504-2546 - Phone
- (570) 207-6740
- Fax
- (570) 207-6749
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerard Thomas Donahue
- Title
- Managing Partner'S Representative
- Phone
- (570) 207-6740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 00238 | PA | Primary |
Addresses
Primary practice location
315 S Main Ave
Scranton, PA 18504-2546
Mailing address
315 S Main Ave
Scranton, PA 18504-2546
Phone (570) 207-6740
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811015993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 S MAIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185042546",
"telephone_number": "570-207-6740",
"fax_number": "570-207-6749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S MAIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185042546",
"telephone_number": "570-207-6740",
"fax_number": "570-207-6749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL PA LIFE SUPPORT, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DONAHUE",
"authorized_official_first_name": "GERARD",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "MANAGING PARTNER'S REPRESENTATIVE",
"authorized_official_telephone_number": "570-207-6740"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "00238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.