Pennsylvania Ambulance LLC
NPI 1124454566 · Ambulance · Dunmore, PA
Enrolled with Medicare as Part B Supplier - Ambulance Service Supplier · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1124454566
- Entity type
- Organization
- Primary specialty
- AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Bruce Beauvais, Operations Manager(570) 558-1212
Specialties & taxonomies
Transportation Services
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
46,041.3 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Ground Mileage, Per Statute MileA0425 | 39,197 | $9 |
| Ambulance Service, Advanced Life Support, Emergency Transport, Level 1 (als 1 - Emergency)A0427 | 3,979 | $493 |
| Ambulance Service, Basic Life Support, Emergency Transport (bls-Emergency)A0429 | 1,856 | $415 |
| Ambulance Service, Basic Life Support, Non-Emergency Transport, (bls)A0428 | 789 | $258 |
| Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (als 1)A0426 | 165 | $310 |
| Advanced Life Support, Level 2 (als 2)A0433 | 55 | $714 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-09-17
- Last updated
- 2013-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.