Provider Demographics
NPI:1548247455
Name:KEYSTONE QUALITY TRANSPORT COMPANY
Entity type:Organization
Organization Name:KEYSTONE QUALITY TRANSPORT COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:PLATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-566-2200
Mailing Address - Street 1:PO BOX 2027
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-9027
Mailing Address - Country:US
Mailing Address - Phone:610-541-6610
Mailing Address - Fax:610-541-6624
Practice Address - Street 1:1260 E WOODLAND AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3969
Practice Address - Country:US
Practice Address - Phone:610-541-6610
Practice Address - Fax:610-541-6624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-30
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA232093416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000779015Medicaid
8100288OtherEVERCARE
480235OtherAETNA USHC
0000116000OtherINDEPENDENCE BLUE CROSS
PA0014336160003Medicaid
1009910OtherKEYSTONE MERCY HP
0143361601OtherAMERICHOICE OF PA
13878OtherHEALTH PARTNERS
191041000OtherMAGELLAN HEALTH PLAN
PA224786Medicare ID - Type Unspecified
DE0000779015Medicaid