Organization Active NPI

Ford City Hose Co #1 Ambulance Service

  • Land Ambulance
  • Ford City, PA
National Provider Identifier
1144301573
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
FORD CITY HOSE CO #1 AMBULANCE SERVICE
Practice address
412 10TH Street
Ford City, PA 16226-1222
Phone
(724) 763-4176
Fax
(724) 763-4230
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Dave Dunmire
Title
Director
Phone
(724) 763-4176

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 05072 PA
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

412 10TH Street
Ford City, PA 16226-1222

Mailing address

PO Box 447
Ford City, PA 16226-1222
Phone (800) 280-5974

Other identifiers 2

IdentifierTypeStateIssuer
208198MedicaidPA
1014858940001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121017000166 PA Part B Supplier - Ambulance Service Supplier 4880843846 Practice locations: Ford City, PA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1144301573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162261222",
            "telephone_number": "800-280-5974",
            "fax_number": "724-794-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 10TH STREET",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162261222",
            "telephone_number": "724-763-4176",
            "fax_number": "724-763-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD CITY HOSE CO #1 AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "DUNMIRE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "724-763-4176"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "05072",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208198",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014858940001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ford City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.