Active NPI
New Cumberland Fire Department
- Land Ambulance
- New Cumberland, PA
National Provider Identifier
1104825405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 03264
- Legal business name
- NEW CUMBERLAND FIRE DEPARTMENT
- Practice address
- 319 4TH St
New Cumberland, PA 17070-2120 - Phone
- (717) 774-0193
- Fax
- (717) 774-7046
- NPI assigned
- Jul 19, 2005
- 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
- Cindy Anderson
- Title
- EMS Captain
- Phone
- (717) 774-0193
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 03264 | PA | Primary |
Addresses
Primary practice location
319 4TH St
New Cumberland, PA 17070-2120
Mailing address
PO Box 726
New Cumberland, PA 17070-0726
Phone (717) 214-6018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001219984 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120516000208 | PA | Part B Supplier - Ambulance Service Supplier | 9931362613 | Practice locations: New Cumberland, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2147177 | New Cumberland Fire Department | Certificate of waiver | Apr 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
319 4th St
New Cumberlnd, PA 17070
Phone (717) 774-0193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319155200000",
"number": "1104825405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 726",
"city": "NEW CUMBERLAND",
"state": "PA",
"postal_code": "170700726",
"telephone_number": "717-214-6018",
"fax_number": "717-214-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 4TH ST",
"city": "NEW CUMBERLAND",
"state": "PA",
"postal_code": "170702120",
"telephone_number": "717-774-0193",
"fax_number": "717-774-7046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW CUMBERLAND FIRE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-19",
"last_updated": "2011-10-21",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "EMS CAPTAIN",
"authorized_official_telephone_number": "717-774-0193"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "03264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001219984",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Cumberland, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.