Active NPI
Halifax Area Ambulance and Rescue Association, Inc.
- Ambulance
- Halifax, PA
National Provider Identifier
1023070505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 03263
- Legal business name
- HALIFAX AREA AMBULANCE AND RESCUE ASSOCIATION, INC.
- Practice address
- 31 Bunker Hill
Halifax, PA 17032 - Phone
- (717) 896-3636
- Fax
- (717) 896-3636
- NPI assigned
- Apr 3, 2006
- Last updated
- Oct 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carol Ann Fetterhoff, EMT
- Title
- Financial Secretary
- Phone
- (717) 828-3067
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 03263 | PA | Primary |
Addresses
Primary practice location
31 Bunker Hill
Halifax, PA 17032
Mailing address
PO Box 459
Halifax, PA 17032
Phone (717) 896-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121116000491 | PA | Part B Supplier - Ambulance Service Supplier | 6305097510 | Practice locations: Halifax, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2177980 | Halifax Area Ambulance and Rescue Association Inc | Certificate of waiver | Jan 22, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350259200000",
"number": "1023070505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 459",
"city": "HALIFAX",
"state": "PA",
"postal_code": "17032",
"telephone_number": "717-896-3636",
"fax_number": "717-896-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 BUNKER HILL",
"city": "HALIFAX",
"state": "PA",
"postal_code": "17032",
"telephone_number": "717-896-3636",
"fax_number": "717-896-3636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALIFAX AREA AMBULANCE AND RESCUE ASSOCIATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-03",
"last_updated": "2012-10-15",
"status": "A",
"authorized_official_last_name": "FETTERHOFF",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "FINANCIAL SECRETARY",
"authorized_official_telephone_number": "717-828-3067",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "EMT"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PA",
"license": "03263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Halifax, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.