Organization Active NPI

Elysburg Fire Company No 1

  • Land Ambulance
  • Elysburg, PA
National Provider Identifier
1306842893
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03297 Issued in PA
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

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
Chip Wetzel
Title
President
Phone
(570) 672-2920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20041013000223 PA Part B Supplier - Ambulance Service Supplier 3072573211 Practice locations: Elysburg, PA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.