Chicora Independent Hose Company

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

06004 Issued in PA

Legal business name

CHICORA INDEPENDENT HOSE COMPANY

Practice address

202 West Slippery Rock St
Chicora, PA 16025-3214

Phone

(724) 445-2220

Fax

(724) 445-2167

NPI assigned

Oct 12, 2006

Last updated

Sep 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Turner

Title

Executive Director

Phone

(724) 445-2220

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1215026935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WEST SLIPPERY ROCK ST",
            "city": "CHICORA",
            "state": "PA",
            "postal_code": "160253214",
            "telephone_number": "724-445-2220",
            "fax_number": "724-445-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WEST SLIPPERY ROCK ST",
            "city": "CHICORA",
            "state": "PA",
            "postal_code": "160253214",
            "telephone_number": "724-445-2220",
            "fax_number": "724-445-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICORA INDEPENDENT HOSE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-445-2220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "06004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010621510001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen Bishop, CRNP
• Butler Health System (Butler Medical Associates - Chicora)
• Butler PT, LLC (Chicora Physical Therapy)
• Jeffrey Scott Campbell, RPH
• Chicora Dental Care, LLC
• Chicora Medical Center, Limited Partnership
• Chicora Pharmacy, LLC
• Christopher R Rugaber OD LLC (Chicora Eye Care)
• Ethan Conto, DMD
• Deann Lynn Craig, RDH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.