COTTAGE HOSE AMBULANCE CORP INC NPI 1518910827

NPI Information

NPI: 1518910827
Provider Name: COTTAGE HOSE AMBULANCE CORP INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 39D1075728

Address:
2 GREENFIELD RD
CARBONDALE, PA
ZIP 18407
Phone: (570) 282-4649
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COTTAGE HOSE AMBULANCE CORP INC is a land transport ambulance in Carbondale, PA. COTTAGE HOSE AMBULANCE CORP INC NPI is 1518910827. The provider is registered as an organization entity type.

The provider's business location address is:

2 GREENFIELD RD
CARBONDALE, PA
ZIP 18407-833
Phone: (570) 282-4649
Fax: (570) 282-5653

The provider's authorized official is Joan Smith .
The authorized official title is Executive Director and has the following contact phone number (570) 282-5654.

The CLIA number assigned to this NPI record is 39D1075728 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	04263	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	287142	OTHER	PENNSYLVANIA	STERLING OPTION 1
2	20013102	OTHER	PENNSYLVANIA	AMERI HEALTH MERCY
3	246774	OTHER	PENNSYLVANIA	FERERAL EMPLOYEES CLAIMS
4	998502	OTHER	PENNSYLVANIA	BC MAJOR MEDICAL NEBC
5	072995	OTHER	PENNSYLVANIA	FIRST PRIORITY HEALTH
6	246774	OTHER	PENNSYLVANIA	BLUE CROSS BLUE CARD
7	246774	OTHER	PENNSYLVANIA	FREDOM BLUE
8	287142	OTHER	PENNSYLVANIA	PRISON HEALTH SYSTEM
9	A1310245	OTHER	PENNSYLVANIA	OXFORD HEALTH PLAN
10	0012860	OTHER	PENNSYLVANIA	AETNA US HEALTHCARE
11	1200740	OTHER	PENNSYLVANIA	PDA WAIVER PROGRAM
12	1200740	OTHER	PENNSYLVANIA	HEALTHMATE
13	246774	OTHER	PENNSYLVANIA	BC BS SECURITY 65
14	0012007400001	MEDICAID	PENNSYLVANIA
15	1531307	OTHER	PENNSYLVANIA	GATEWAY HEALTH PLAN
16	246774	OTHER	PENNSYLVANIA	BC NEPA ACCESSCARE 2

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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