ELK COUNTY EMS, LLC (NPI# 1306373451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306373451 |
| Entity Type | Organization |
| Organization Name | ELK COUNTY EMS, LLC |
| Other Organization Name | ELK COUNTY AMBULANCE TRANSPORT SERVICE |
| Practice Address |
625 Maurus St Ste D Saint Marys PA 15857-1037 |
| Mailing Address |
892 New Castle Rd Slippery Rock PA 16057-4228 |
| Practice Telephone | 8145947527 |
| Mailing Telephone | 8002805974 |
| Mailing Fax Number | 7247941633 |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | MR. MARK J. SCHAUT (OWNER) |
| Authorized Official Telephone | 8145947527 |
| Authorized Official Credential | PHRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1033794150001 | 05 |
| Other Name | Type Code |
|---|---|
| Elk County Ambulance Transport Service | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ELK COUNTY EMS, LLC | 422 W Mill St, Saint Marys, PA 15857-1616 |
| Street Address |
625 MAURUS ST STE D |
| City | SAINT MARYS |
| State | PA |
| Zip Code | 15857-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255813945 | Emily Gregory | Occupational Therapist | Elk Haven, 785 Johnsonburg Road, Saint Marys, PA 15857 | 2018-08-30 |
| 1902324395 | Kylee Jo Proudfit | Specialist/Technologist | 575 Charles Street, Saint Marys, PA 15857 | 2017-09-06 |
| 1760829212 | Joshua Aaron Kuleck | Social Worker | 801 South Michael St., Cen Clear Child Services, Saint Marys, PA 15857 | 2013-05-23 |
| 1326215146 | St Marys Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 21 S Saint Marys St, Saint Marys, PA 15857 | 2008-05-12 |
| 1801075924 | James L Hackett Jr. | Internal Medicine | 1114 Windfall Road, St Marys, PA 15857 | 2007-10-25 |
| 1427261098 | Mary Kay O'conor | Radiologic Technologist | 346 Church St, St Marys, PA 15857 | 2007-05-08 |
| 1538205976 | Kelley A Mohney | Occupational Therapy Assistant | 211 Eckert Rd., St. Marys, PA 15857 | 2007-01-30 |
| 1851443824 | Joseph Jude Hawkins | Dentist | 1141 South Michael Road, St Marys, PA 15857 | 2007-01-18 |
| 1124190731 | Charles Richard Haskell Sr. | Dentist | 106 Wehler Road, Saint Marys, PA 15857 | 2006-11-15 |
| 1235229170 | Sharon Zaffarese-dippold | Social Worker | 145 Lafayette St Apt 1, Saint Marys, PA 15857 | 2006-10-13 |
| Find all providers in zip 15857 | ||||
| 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 |
|---|---|---|---|---|
| 1992855076 | City of St Marys | Ambulance | 106 E Spring St, Saint Marys, OH 45885-2310 | 2007-01-11 |
| 1841200680 | St. Marys Area Ambulance Service, Inc. | Ambulance | 773 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2006-08-08 |
| 1922007517 | Pleasants County Emergency Ambulance Authority | Ambulance | 406 3rd St, Saint Marys, WV 26170-1402 | 2005-07-18 |
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| 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 | SAINT MARYS |
| Zip Code | 15857 |
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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.