BLAKELY BOROUGH COMMUNITY AMBULANCE ASSOCIATION (NPI# 1679648877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679648877 |
| Entity Type | Organization |
| Organization Name | BLAKELY BOROUGH COMMUNITY AMBULANCE ASSOCIATION |
| Other Organization Name | BAKELY EMS & RESCUE |
| Practice Address |
500 Academy St Peckville PA 18452-1604 |
| Mailing Address |
Po Box 1846 Shavertown PA 18708-0846 |
| Practice Telephone | 5703071279 |
| Practice Fax Number | 5703071275 |
| Mailing Telephone | 5707143694 |
| Mailing Fax Number | 5707143695 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2012-08-27 |
| Authorized Official Name | JEFF CRUCIANI (FINANCIAL SECRETARY) |
| Authorized Official Telephone | 5702416828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
04061 | PA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0012562900002 | 05 | |
| PA | FREEDOM BLUE | 287403 | 01 |
| FEDERAL BLACK LUNG | 899215 | 01 |
| Other Name | Type Code |
|---|---|
| Bakely EMS & Rescue | Doing Business As Name - Organization |
| Street Address |
500 ACADEMY ST |
| City | PECKVILLE |
| State | PA |
| Zip Code | 18452-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275718363 | Eugene Marchegiani Jr. | Chiropractor | 440 Keystone Ave, Peckville, PA 18452 | 2008-01-08 |
| 1598745499 | Anthony William Freda | Internal Medicine | 320 Keystone Ave, Peckville, PA 18452 | 2006-01-18 |
| 1396140505 | William John Antognoli | Pathology | 613 Main Street, Peckville, PA 18452 | 2014-10-30 |
| 1104042043 | Joanne Ryczak | Dietitian, Registered | 1400 Main St, Mid Valley Hospital, Peckville, PA 18452 | 2007-04-18 |
| 1083714331 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 1425 Main Street, Peckville, PA 18452 | 2006-09-25 |
| 1457463275 | Cynthia G Charnetski | Optometrist | 1582 Main St, Peckville, PA 18452 | 2006-08-31 |
| 1417963844 | Angela Michelle Plominski | Specialist/Technologist | 1333 Main St, Peckville, PA 18452 | 2006-07-31 |
| 1689913196 | Keystone Independent Living | Custodial Care Facility | 202 Boulevard Ave, Peckville, PA 18452-1002 | 2013-02-04 |
| 1396253183 | Tom Horeis | Pharmacist | 3 Circle Dr, Peckville, PA 18452-1003 | 2018-01-16 |
| 1609473206 | Maura Christine Merli | Nurse Practitioner | 106 Hospital St, Peckville, PA 18452-1108 | 2020-10-06 |
| Find all providers in zip 18452 | ||||
| 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 |
|---|---|---|---|---|
| 1942376447 | Pa Politics Com, Inc. | Ambulance | 29 Depot St, Peckville, PA 18452-2323 | 2006-11-27 |
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| 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 | ||||
Please comment or provide details below to improve the information on BLAKELY BOROUGH COMMUNITY AMBULANCE ASSOCIATION.
| 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.