Active NPI
Eldredsville Volunteer Fire Company
- Land Ambulance
- Forksville, PA
National Provider Identifier
1164730479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2012
- 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
- Ms. Theresa E. Torluccio
- Title
- Secretary
- Phone
- (570) 924-5656
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120221000041 | PA | Part B Supplier - Ambulance Service Supplier | 4880852946 | Practice locations: Forksville, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2171012 | Eldredsville Volunteer Fire Company | Certificate of waiver | Aug 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- Heather Lee Coble, COTA/L
- Darway Nursing Care Center LLC (Darway Healthcare and Rehabilitation Center)
- Darway Rehabilitation and Healthcare Center LLC
- Guardian Elder Care at Forksville LLC (Darway Healthcare and Rehabilitation Center)
- Christy Harriman
- Nancy Carol Mueller, PT
- Richard Arnold Mueller, PT
- Leonard William Mumie III, M.S., CCC-SLP/L
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.