| Organization Name: | LACKAWANNA AMBULANCE, INC |
| NPI Number: | 1720187966 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD SEAN BUCKMAN (PRESIDENT CEO) |
| Mailing Address: | 1000 Remington Ave Scranton |
| State: | PA US |
| Postal Code: | 185051118 |
| Phone Number: | 5702075200 |
| Fax Number: | 5702075266 |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 09/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 341600000X |
| License Number: | 04164 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |