Organization Active NPI

Gordonville Fire Company Ambulance

  • Land Ambulance
  • Gordonville, PA
National Provider Identifier
1083758684
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
GORDONVILLE FIRE COMPANY AMBULANCE
Practice address
Old Leacock and Vigilant Streets
Gordonville, PA 17529
Phone
(717) 768-3869
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Authorized official

Name
Chris Spenner
Title
Billing Manager
Phone
(484) 664-2007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X PA Primary

Addresses

Primary practice location

Old Leacock and Vigilant Streets
Gordonville, PA 17529

Mailing address

5925 Tilghman St
Suite 1000
Allentown, PA 18104-9156

Other identifiers 1

IdentifierTypeStateIssuer
1014882600001MedicaidPA

National Provider Directory

National Provider Directory

Locations

5925 Tilghman St
Ste 1000
Allentown, PA 18104

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1083758684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 TILGHMAN ST",
            "address_2": "SUITE 1000",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OLD LEACOCK AND VIGILANT STREETS",
            "city": "GORDONVILLE",
            "state": "PA",
            "postal_code": "17529",
            "telephone_number": "717-768-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDONVILLE FIRE COMPANY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "SPENNER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "484-664-2007"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014882600001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gordonville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.