Organization Active NPI

The a F Dobler Hose and Ladder

  • Land Ambulance
  • Girard, PA
National Provider Identifier
1063639490
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
THE A F DOBLER HOSE AND LADDER
Practice address
37 Walnut St
Girard, PA 16417-1630
Phone
(814) 774-8218
Fax
(814) 774-5348
NPI assigned
Apr 19, 2007
Last updated
Sep 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Mr. Roger L Schultz
Title
President
Phone
(814) 774-8218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

37 Walnut St
Girard, PA 16417-1630

Mailing address

37 Walnut St
Girard, PA 16417-1630
Phone (814) 774-8218

Other identifiers 1

IdentifierTypeStateIssuer
0011029540002MedicaidPA

Other names 1

  • GIRARD FIRE DEPARTMENT Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121119000098 PA Part B Supplier - Ambulance Service Supplier 9830351964 Practice locations: Girard, PA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

37 Walnut St
Girard, PA 16417
Phone (814) 774-8218

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1063639490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WALNUT ST",
            "city": "GIRARD",
            "state": "PA",
            "postal_code": "164171630",
            "telephone_number": "814-774-8218",
            "fax_number": "814-774-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 WALNUT ST",
            "city": "GIRARD",
            "state": "PA",
            "postal_code": "164171630",
            "telephone_number": "814-774-8218",
            "fax_number": "814-774-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE A F DOBLER HOSE AND LADDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-774-8218",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011029540002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIRARD FIRE DEPARTMENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Girard, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.