Active NPI
Ford City Hose Co #1 Ambulance Service
- Land Ambulance
- Ford City, PA
National Provider Identifier
1144301573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208198 | Medicaid | PA | |
| 1014858940001 | 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 |
|---|---|---|---|---|
| O20121017000166 | PA | Part B Supplier - Ambulance Service Supplier | 4880843846 | Practice locations: Ford City, PA |
National Provider Directory
National Provider DirectoryNPI 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.