Organization
PA POLITICS COM, INC.
Active
Other names
Lackawanna Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SEAN BUCKMAN (CEO)
(570) 207-5200
Entity
Organization
Contact information
Practice address
29 DEPOT ST, PECKVILLE, PA 18452-2323
(570) 207-5200
(570) 207-5266
Mailing address
29 DEPOT ST, PECKVILLE, PA 18452-2323
(570) 207-5200
(570) 207-5266
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04164
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007506200003
—
PA
01
—
206068
HIGHMARK BCBS
PA
01
—
807228
FIRST PRIORITY
PA
01
—
998575
BLUE CROSS OF NEPA
PA
Enumeration date
11/27/2006
Last updated
08/22/2020
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