Organization Active NPI

New Cumberland Fire Department

  • Land Ambulance
  • New Cumberland, PA
National Provider Identifier
1104825405
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03264 Issued in PA
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

Updated by the provider on Oct 21, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001219984MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120516000208 PA Part B Supplier - Ambulance Service Supplier 9931362613 Practice locations: New Cumberland, 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
39D2147177New Cumberland Fire Department319 Fourth Street, New Cumberland, PA 17070Certificate of waiverApr 15, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.