Organization
SCRANTON QUINCY AMBULANCE LLC
Active
Other names
Commonwealth Health EMS
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L JACKSON (SENIOR DIRECTOR, ENROLLMENT)
(877) 892-9815
Entity
Organization
Contact information
Practice address
1000 REMINGTON AVE, SCRANTON, PA 18505-1118
(570) 558-4911
Mailing address
4000 MERIDIAN BLVD, FRANKLIN, TN 37067-6325
(615) 465-7000
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
13016
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102878813 0004
—
PA
01
—
831195
FIRST PRIORITY
PA
01
—
P01264050
RAILROAD MEDICARE
—
Enumeration date
07/23/2013
Last updated
01/25/2022
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