Organization Active NPI

Hanover Volunteer Fire Department Beaver County

  • Land Ambulance
  • Hookstown, PA
National Provider Identifier
1275514846
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
06088 Issued in PA
Legal business name
HANOVER VOLUNTEER FIRE DEPARTMENT BEAVER COUNTY
Practice address
2697 Route 18
Hookstown, PA 15050
Phone
(724) 899-3144
NPI assigned
Nov 9, 2005
Last updated
Feb 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Gary Tellish
Title
Chief
Phone
(724) 601-0220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 04006 PA
Land Ambulance 3416L0300X 06088 PA Primary

Addresses

Primary practice location

2697 Route 18
Hookstown, PA 15050

Mailing address

PO Box 726
New Cumberland, PA 17070-0726
Phone (717) 214-6018

Other identifiers 1

IdentifierTypeStateIssuer
0014951630001MedicaidPA

National Provider Directory

National Provider Directory

Locations

2697 State Route 18
Hookstown, PA 15050
Phone (724) 899-3144

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1275514846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170700726",
            "telephone_number": "717-214-6018",
            "fax_number": "717-214-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2697 ROUTE 18",
            "city": "HOOKSTOWN",
            "state": "PA",
            "postal_code": "15050",
            "telephone_number": "724-899-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER VOLUNTEER FIRE DEPARTMENT BEAVER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "TELLISH",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "724-601-0220"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04006",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "06088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014951630001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hookstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.