Organization Active NPI

Perry Hi-Way Hose Company

  • Land Ambulance
  • Erie, PA
National Provider Identifier
1003979238
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PERRY HI-WAY HOSE COMPANY
Practice address
8281 Oliver Rd
Erie, PA 16509-4623
Phone
(814) 864-0680
Fax
(814) 860-8345
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jonathan L Spaulding
Title
President
Phone
(814) 864-0680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

8281 Oliver Rd
Erie, PA 16509-4623

Mailing address

8281 Oliver Rd
Erie, PA 16509-4623
Phone (814) 864-0680

Other identifiers 2

IdentifierTypeStateIssuer
0011295190001MedicaidPA
275690OtherPAHEALTH AMERICA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060302000167 PA Part B Supplier - Ambulance Service Supplier 0547276453 Practice locations: Erie, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2135676Perry Hi-Way Hose Company8281 Oliver Road, Erie, PA 16509Certificate of waiverAug 24, 2027

National Provider Directory

National Provider Directory

Locations

8281 Oliver Rd
Erie, PA 16509
Phone (814) 864-0680

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1003979238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8281 OLIVER RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165094623",
            "telephone_number": "814-864-0680",
            "fax_number": "814-860-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8281 OLIVER RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165094623",
            "telephone_number": "814-864-0680",
            "fax_number": "814-860-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY HI-WAY HOSE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "SPAULDING",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-864-0680"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011295190001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "275690",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.