Healthcare Provider Details

I. General information

NPI: 1649860313
Provider Name (Legal Business Name): KEEP SAFE TRANSPORTATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2021
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

836 W 3RD ST
LOCK HAVEN PA
17745-2727
US

IV. Provider business mailing address

836 W 3RD ST
LOCK HAVEN PA
17745-2727
US

V. Phone/Fax

Practice location:
  • Phone: 570-660-2114
  • Fax: 570-748-2825
Mailing address:
  • Phone: 570-660-2114
  • Fax: 570-748-2825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ALAN SEMENTELLI
Title or Position: OWNER
Credential:
Phone: 570-660-2114