Organization Active NPI

FHP Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Summerhill, PA
National Provider Identifier
1225005523
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
8000001714 Issued in PA
Legal business name
FHP MEDICAL SUPPLY
Practice address
1300 Railroad St
Summerhill, PA 15958
Phone
(814) 495-5920
Fax
(814) 495-5924
NPI assigned
Mar 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ronald Lattanzio
Title
Operations Manager
Phone
(814) 495-7127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 8000001714 PA Primary

Addresses

Primary practice location

1300 Railroad St
Summerhill, PA 15958

Mailing address

550 Locust St
PO Box 307
St Michael, PA 15951
Phone (814) 495-7127

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225005523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 LOCUST ST",
            "address_2": "PO BOX 307",
            "city": "ST MICHAEL",
            "state": "PA",
            "postal_code": "15951",
            "telephone_number": "814-495-7127",
            "fax_number": "814-495-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 RAILROAD ST",
            "city": "SUMMERHILL",
            "state": "PA",
            "postal_code": "15958",
            "telephone_number": "814-495-5920",
            "fax_number": "814-495-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHP MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LATTANZIO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "814-495-7127"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "8000001714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerhill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.