East Deer Volunteer Hose Co 1

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03247 Issued in PA

Legal business name

EAST DEER VOLUNTEER HOSE CO 1

Practice address

927 Freeport Rd
Creighton, PA 15030-1049

Phone

(724) 468-1212

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Lori Robinson

Title

Cfo

Phone

(724) 468-1212

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1053404145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 FREEPORT RD",
            "address_2": "P O BOX 303",
            "city": "CREIGHTON",
            "state": "PA",
            "postal_code": "150301049",
            "telephone_number": "724-468-1212",
            "fax_number": "724-468-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 FREEPORT RD",
            "city": "CREIGHTON",
            "state": "PA",
            "postal_code": "150301049",
            "telephone_number": "724-468-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST DEER VOLUNTEER HOSE CO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-468-1212"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011518790001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Creighton, PA
• Providers in Creighton, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.