Organization Active NPI

Fairview Fire and Rescue

  • Land Ambulance
  • Fairview, PA
National Provider Identifier
1073651667
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
FAIRVIEW FIRE AND RESCUE
Practice address
7190 W Ridge Rd
Fairview, PA 16415-2027
Phone
(814) 474-5091
Fax
(814) 474-5093
NPI assigned
Feb 3, 2007
Last updated
Aug 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
David P Dubrow
Title
President
Phone
(814) 474-5091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

7190 W Ridge Rd
Fairview, PA 16415-2027

Mailing address

PO Box 69
Fairview, PA 16415-0069
Phone (814) 474-5091

Other identifiers 2

IdentifierTypeStateIssuer
0011569190003MedicaidPA
280448OtherPAHIGHMARK BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110729000330 PA Part B Supplier - Ambulance Service Supplier 8628246063 Practice locations: Fairview, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2135376Fairview Fire & Rescue7190 West Ridge Road, Fairview, PA 16415Certificate of waiverAug 21, 2027

National Provider Directory

National Provider Directory

Member organizations 1

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

Locations

7190 W Ridge Rd
Fairview, PA 16415
Phone (814) 474-5091

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1073651667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164150069",
            "telephone_number": "814-474-5091",
            "fax_number": "814-474-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7190 W RIDGE RD",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164152027",
            "telephone_number": "814-474-5091",
            "fax_number": "814-474-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW FIRE AND RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "DUBROW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-474-5091"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011569190003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "280448",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.

Verify at the official NPI Registry.