Charles J. Spellman Ambulance Service, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

04051 Issued in PA

Legal business name

CHARLES J. SPELLMAN AMBULANCE SERVICE, INC.

Practice address

14 Marion St
Luzerne, PA 18709-1419

Phone

(570) 822-5587

Fax

(570) 287-3384

NPI assigned

Nov 1, 2006

Last updated

Apr 18, 2013By 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. Homer Berlew

Title

President

Phone

(570) 822-5587

Specialties & licenses 1

Addresses

Other identifiers 13

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Trans-Med Ambulance Inc.

  • Ambulance
  • Luzerne, PA
  • NPI 1033190228

  Member Of

  NPD member

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1821176892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MARION ST",
            "city": "LUZERNE",
            "state": "PA",
            "postal_code": "187091419",
            "telephone_number": "570-822-5587",
            "fax_number": "570-287-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MARION ST",
            "city": "LUZERNE",
            "state": "PA",
            "postal_code": "187091419",
            "telephone_number": "570-822-5587",
            "fax_number": "570-287-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J. SPELLMAN AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "BERLEW",
        "authorized_official_first_name": "HOMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-822-5587",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "080008300",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "20005603",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS",
            "identifier": "CJ200510",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS",
            "identifier": "84067",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "805657",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BC/BS",
            "identifier": "CJ200510",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014501800001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "30230362S",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "568281",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING",
            "identifier": "CJ200510",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "200510",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "200510",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NEPA",
            "identifier": "998506",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.