1942376447 NPI number — PA POLITICS COM, INC.

Table of content: (NPI 1942376447)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942376447 NPI number — PA POLITICS COM, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PA POLITICS COM, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LACKAWANNA AMBULANCE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942376447
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
29 DEPOT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PECKVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18452-2323
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-207-5200
Provider Business Mailing Address Fax Number:
570-207-5266

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
29 DEPOT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PECKVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18452-2323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-207-5200
Provider Business Practice Location Address Fax Number:
570-207-5266
Provider Enumeration Date:
11/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BUCKMAN
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
SEAN
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
570-207-5200

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  04164 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1007506200003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 807228 . This is a "FIRST PRIORITY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 998575 . This is a "BLUE CROSS OF NEPA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 206068 . This is a "HIGHMARK BCBS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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