Organization Active NPI

Eldredsville Volunteer Fire Company

  • Land Ambulance
  • Forksville, PA
National Provider Identifier
1164730479
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ELDREDSVILLE VOLUNTEER FIRE COMPANY
Practice address
402 Route 4007
Forksville, PA 18616-8984
Phone
(570) 924-5656
Fax
(570) 924-5656
NPI assigned
Sep 21, 2010
Last updated
Jun 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Ms. Theresa E. Torluccio
Title
Secretary
Phone
(570) 924-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

402 Route 4007
Forksville, PA 18616-8984

Mailing address

402 Route 4007
Forksville, PA 18616-8984
Phone (570) 924-5656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120221000041 PA Part B Supplier - Ambulance Service Supplier 4880852946 Practice locations: Forksville, 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
39D2171012Eldredsville Volunteer Fire Company402 Route 4007, Forksville, PA 18616Certificate of waiverAug 22, 2027

National Provider Directory

National Provider Directory

Locations

402 Route 4007
Forksville, PA 18616
Phone (570) 924-5656

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1164730479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 ROUTE 4007",
            "city": "FORKSVILLE",
            "state": "PA",
            "postal_code": "186168984",
            "telephone_number": "570-924-5656",
            "fax_number": "570-924-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 ROUTE 4007",
            "city": "FORKSVILLE",
            "state": "PA",
            "postal_code": "186168984",
            "telephone_number": "570-924-5656",
            "fax_number": "570-924-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDREDSVILLE VOLUNTEER FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "TORLUCCIO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "570-924-5656",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forksville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.