Pennsylvania Ambulance LLC
Ambulance in Dunmore, PA. Organization (NPI-2).
NPI number1124454566
StatusActive
Last updated in NPPESSep 17, 2013
Details
- NPI
- 1124454566
- Entity type
- Organization (NPI-2)
- Legal business name
- Pennsylvania Ambulance LLC
- Organization subpart
- No
- Enumeration date
- Sep 17, 2013
- Last updated
- Sep 17, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - AMBULANCE SERVICE SUPPLIER
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 341600000X | Ambulance | – | – | Yes |
Practice location
1000 Dunham DrDunmore, PA 18512-2666
Phone 570-558-1212 · Fax 570-558-1213
Mailing address
1000 Dunham DrDunmore, PA 18512-2666
Phone 570-558-1212 · Fax 570-558-1213
Authorized official
Bruce W Beauvais
Operations Manager
5705581212
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