Organization Active NPI

Hanover Township Volunteer Fire Co

  • Land Ambulance
  • Bethlehem, PA
National Provider Identifier
1124112834
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
HANOVER TOWNSHIP VOLUNTEER FIRE CO
Practice address
100 Stoke Park Rd
Bethlehem, PA 18017-9415
Phone
(610) 867-2103
Fax
(610) 867-5600
NPI assigned
Oct 3, 2006
Last updated
Jan 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Karen M Vanwhy
Title
EMS Captain
Phone
(610) 867-2103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

100 Stoke Park Rd
Bethlehem, PA 18017-9415

Mailing address

100 Stoke Park Rd
Bethlehem, PA 18017-9415
Phone (610) 867-2103

Other identifiers 1

IdentifierTypeStateIssuer
0010366160001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040630000493 PA Part B Supplier - Ambulance Service Supplier 2163409970 Practice locations: Bethlehem, PA

National Provider Directory

National Provider Directory

Locations

100 Stoke Park Rd
Bethlehem, PA 18017
Phone (610) 867-2103

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1124112834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STOKE PARK RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179415",
            "telephone_number": "610-867-2103",
            "fax_number": "610-867-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STOKE PARK RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179415",
            "telephone_number": "610-867-2103",
            "fax_number": "610-867-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER TOWNSHIP VOLUNTEER FIRE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "VANWHY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EMS CAPTAIN",
        "authorized_official_telephone_number": "610-867-2103"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010366160001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.