Organization Active NPI

Central PA Life Support, LLP

  • Land Ambulance
  • Scranton, PA
National Provider Identifier
1811015993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
00238 Issued in PA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.