Active NPI
Elysburg Fire Company No 1
- Land Ambulance
- Elysburg, PA
National Provider Identifier
1306842893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 03297
- Legal business name
- ELYSBURG FIRE COMPANY NO 1
- Practice address
- 1 E Mill St
Elysburg, PA 17824-9683 - Phone
- (570) 672-2920
- Fax
- (570) 672-9505
- NPI assigned
- Jun 21, 2005
- 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
- Chip Wetzel
- Title
- President
- Phone
- (570) 672-2920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 03297 | PA | Primary |
Addresses
Primary practice location
1 E Mill St
Elysburg, PA 17824-9683
Mailing address
PO Box 726
New Cumberland, PA 17070-0726
Phone (717) 214-6018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041013000223 | PA | Part B Supplier - Ambulance Service Supplier | 3072573211 | Practice locations: Elysburg, PA |
National Provider Directory
National Provider DirectoryLocations
1 E Mill St
Elysburg, PA 17824
Phone (570) 672-2920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306842893",
"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": "1 E MILL ST",
"city": "ELYSBURG",
"state": "PA",
"postal_code": "178249683",
"telephone_number": "570-672-2920",
"fax_number": "570-672-9505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELYSBURG FIRE COMPANY NO 1",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WETZEL",
"authorized_official_first_name": "CHIP",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-672-2920"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "03297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elysburg, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.