Active NPI
The a F Dobler Hose and Ladder
- Land Ambulance
- Girard, PA
National Provider Identifier
1063639490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2013
- 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
- Mr. Roger L Schultz
- Title
- President
- Phone
- (814) 774-8218
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011029540002 | Medicaid | PA |
Other names 1
- GIRARD FIRE DEPARTMENT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121119000098 | PA | Part B Supplier - Ambulance Service Supplier | 9830351964 | Practice locations: Girard, PA |
National Provider Directory
National Provider DirectoryMember 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.