NPIMap

Organization Active NPI

Scranton Quincy Ambulance LLC

Doing business as Commonwealth Health EMS

  • Land Ambulance
  • Scranton, PA
National Provider Identifier
1891137568
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
13016 Issued in PA
Legal business name
SCRANTON QUINCY AMBULANCE LLC
Doing business as
Commonwealth Health EMS
Practice address
1000 Remington Ave
Scranton, PA 18505-1118
Phone
(570) 558-4911
NPI assigned
Jul 23, 2013
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Jennifer L Jackson
Title
Senior Director, Enrollment
Phone
(877) 892-9815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 13016 PA Primary

Addresses

Primary practice location

1000 Remington Ave
Scranton, PA 18505-1118

Mailing address

4000 Meridian Blvd
Franklin, TN 37067-6325
Phone (615) 465-7000

Other identifiers 3

IdentifierTypeStateIssuer
P01264050OtherRAILROAD MEDICARE
102878813 0004MedicaidPA
831195OtherPAFIRST PRIORITY

Other names 1

  • Commonwealth Health EMS Doing business as

National Provider Directory

National Provider Directory

Locations

10 Daniels Rd
Lakeville, PA 18438
Phone (570) 226-2607

1 Oakwood Dr
Scranton, PA 18504
Phone (570) 703-0081

222 Conyngham Ave
Wilkes Barre, PA 18702
Phone (570) 207-4911

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1891137568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MERIDIAN BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676325",
            "telephone_number": "615-465-7000"
        },
        {
            "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": "570-558-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRANTON QUINCY AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR DIRECTOR, ENROLLMENT",
        "authorized_official_telephone_number": "877-892-9815"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "13016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01264050",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102878813 0004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "831195",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Health EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Commonwealth Health EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 25, 2022; 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.