Provider Demographics
NPI:1942376447
Name:PA POLITICS COM, INC.
Entity Type:Organization
Organization Name:PA POLITICS COM, INC.
Other - Org Name:LACKAWANNA AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:SEAN
Authorized Official - Last Name:BUCKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-207-5200
Mailing Address - Street 1:29 DEPOT ST
Mailing Address - Street 2:
Mailing Address - City:PECKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18452-2323
Mailing Address - Country:US
Mailing Address - Phone:570-207-5200
Mailing Address - Fax:570-207-5266
Practice Address - Street 1:29 DEPOT ST
Practice Address - Street 2:
Practice Address - City:PECKVILLE
Practice Address - State:PA
Practice Address - Zip Code:18452-2323
Practice Address - Country:US
Practice Address - Phone:570-207-5200
Practice Address - Fax:570-207-5266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA041643416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007506200003Medicaid
PA807228OtherFIRST PRIORITY
PA998575OtherBLUE CROSS OF NEPA
PA206068OtherHIGHMARK BCBS
PA998575OtherBLUE CROSS OF NEPA