NPIMap

Organization Active NPI

Ralston Volunteer Fire Company Inc

  • Land Ambulance
  • Ralston, PA
National Provider Identifier
1104823871
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03159 Issued in PA
Legal business name
RALSTON VOLUNTEER FIRE COMPANY INC
Practice address
10970 RT 14
Ralston, PA 17763-0001
Phone
(570) 995-5555
Fax
(570) 995-9118
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Authorized official

Name
Mrs. Tawny L Dietrick, EMT-P
Title
Secretary, Ambulance Captain
Phone
(570) 995-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 03159 PA Primary

Addresses

Primary practice location

10970 RT 14
Ralston, PA 17763-0001

Mailing address

PO Box 1
Ralston, PA 17763-0001
Phone (570) 995-5555

Other identifiers 2

IdentifierTypeStateIssuer
0017009250003MedicaidPA
808283OtherPABLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1104823871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "RALSTON",
            "state": "PA",
            "postal_code": "177630001",
            "telephone_number": "570-995-5555",
            "fax_number": "570-995-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10970 RT 14",
            "city": "RALSTON",
            "state": "PA",
            "postal_code": "177630001",
            "telephone_number": "570-995-5555",
            "fax_number": "570-995-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALSTON VOLUNTEER FIRE COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "DIETRICK",
        "authorized_official_first_name": "TAWNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY, AMBULANCE CAPTAIN",
        "authorized_official_telephone_number": "570-995-5555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017009250003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "808283",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.