Wesleyville Hose Company No 1

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04281 Issued in PA

Legal business name

WESLEYVILLE HOSE COMPANY NO 1

Practice address

3421 Buffalo Rd
Erie, PA 16510-1813

Phone

(814) 899-6704

Fax

(814) 899-4814

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Garver

Title

Lieutenient

Phone

(814) 899-6704

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1124161583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165101813",
            "telephone_number": "814-899-6704",
            "fax_number": "814-899-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165101813",
            "telephone_number": "814-899-6704",
            "fax_number": "814-899-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEYVILLE HOSE COMPANY NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "GARVER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "LIEUTENIENT",
        "authorized_official_telephone_number": "814-899-6704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008899870001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Erie, PA
• Providers in Erie, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.