FALCK NORTHEAST CORP. (NPI# 1104105022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104105022 |
| Entity Type | Organization |
| Organization Name | FALCK NORTHEAST CORP. |
| Other Organization Name | LIFESTAR RESPONSE OF PENNSYLVANIA |
| Practice Address |
1101 E Ridge Pike Plymouth Meeting PA 19462-2720 |
| Mailing Address |
Po Box 827299 Philadelphia PA 19182-7299 |
| Practice Telephone | 8008647523 |
| Practice Fax Number | 4102474856 |
| Mailing Telephone | 8008647523 |
| Mailing Fax Number | 4102474856 |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2016-02-04 |
| Authorized Official Name | MR. CHARLES MAYMON (REGIONAL CEO) |
| Authorized Official Telephone | 9548686668 |
| Is Organization Subpart | Y |
| Parent Organization Name | FALCK EMS CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | 09025 | PA | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
09025 | PA | Transportation Services |
| Other Name | Type Code |
|---|---|
| Lifestar Response of Pennsylvania | Doing Business As Name - Organization |
| Street Address |
1101 E RIDGE PIKE |
| City | PLYMOUTH MEETING |
| State | PA |
| Zip Code | 19462-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598284192 | Nicole Marie Oconnor Probst | Registered Nurse | 824 Belvoir Road, Plymouth Meeting, PA 19462 | 2017-09-14 |
| 1699299404 | Access Services Inc | Community/Behavioral Health | 4070 Butler Pike Ste 900, Plymouth Meeting, PA 19462 | 2017-08-02 |
| 1255869079 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 615 W Germantown Pike Ste 100, Plymouth Meeting, PA 19462 | 2017-05-24 |
| 1376077545 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2400 Butler Pike, Plymouth Meeting, PA 19462 | 2017-04-14 |
| 1770039604 | David Crowe | Specialist/Technologist | 3045 Arrow Head Lane, Plymouth Meeting, PA 19462 | 2016-08-31 |
| 1881054724 | Urology Health Specialists | Non-Pharmacy Dispensing Site | 400 Davis Road, Suite 200a, Plymouth Meeting, PA 19462 | 2016-03-04 |
| 1578947289 | Amanda Coleen Hassey | Optometrist | 615 W Germantown Pike # 100, Plymouth Meeting, PA 19462 | 2015-07-13 |
| 1902204837 | Janelle Thelma Mcclure | Licensed Practical Nurse | 3113 Jolly Rd., Plymouth Meeting, PA 19462 | 2014-12-09 |
| 1417241860 | Nia Murray | Counselor | 523 Plymouth Rd., Suite215, Plymouthmeeting, PA 19462 | 2011-06-02 |
| 1831496868 | Pamela Faye Knappenberger | Licensed Practical Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462 | 2011-02-28 |
| Find all providers in zip 19462 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639156623 | Plymouth Community Ambulance Assn | Ambulance | 902 Germantown Pike, Plymouth Meeting, PA 19462-7400 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1477183515 | Emergency Medical Transport Solutions, LLC | Ambulance | 29 Grayson View Ct, Selinsgrove, PA 17870-8347 | 2020-01-16 |
| 1982244554 | East Erie County Emergency Medical Services Corporation | Ambulance | 5601 Buffalo Rd, Harborcreek, PA 16421-1625 | 2020-01-13 |
| 1548810054 | Medicteam LLC | Ambulance | 55 New St Ste 20, Ephrata, PA 17522-2815 | 2019-09-17 |
| 1639735830 | Precise Medical Response | Ambulance | 6118 Glenloch St, Philadelphia, PA 19135-3613 | 2019-05-13 |
| 1558926758 | S & S Medical Transport LLC | Ambulance | 1608 Colonial Cir, Lebanon, PA 17046-1964 | 2019-05-03 |
| 1811552136 | Ambulnz Pa, LLC | Ambulance | 154 Hansen Access Rd, King of Prussia, PA 19406-2404 | 2019-05-02 |
| 1134681786 | Starbrick Volunteer Fire Department | Ambulance | 5 Firemans St, Warren, PA 16365-3701 | 2019-04-03 |
| 1336612415 | Landisburg Ems Inc | Ambulance | 301 Faculty Ave, Landisburg, PA 17040-0122 | 2019-01-10 |
| 1336615533 | Marklo Ems Transport | Ambulance | 313 Indigo Way, Allentown, PA 18104-8422 | 2018-10-16 |
| Find all providers with the same taxonomy | ||||
| City | PLYMOUTH MEETING |
| Zip Code | 19462 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.