Organization Active NPI

Dalton Fire Company Incorporated

  • Land Ambulance
  • Dalton, PA
National Provider Identifier
1063639631
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
DALTON FIRE COMPANY INCORPORATED
Practice address
109 S Turnpike Rd
Dalton, PA 18414-9511
Phone
(570) 563-1313
Fax
(570) 563-2398
NPI assigned
Apr 18, 2007
Last updated
Jan 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Benjamin J Holbert
Title
President
Phone
(570) 563-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

109 S Turnpike Rd
Dalton, PA 18414-9511

Mailing address

PO Box 684
Dalton, PA 18414-0684
Phone (570) 563-1313

Other identifiers 2

IdentifierTypeStateIssuer
01270092OtherPAUNISON
0012700920001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1063639631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 684",
            "city": "DALTON",
            "state": "PA",
            "postal_code": "184140684",
            "telephone_number": "570-563-1313",
            "fax_number": "570-563-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S TURNPIKE RD",
            "city": "DALTON",
            "state": "PA",
            "postal_code": "184149511",
            "telephone_number": "570-563-1313",
            "fax_number": "570-563-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALTON FIRE COMPANY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "HOLBERT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-563-1313"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "01270092",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012700920001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.