Lake City Fire Company

Primary specialty

AmbulanceTaxonomy code 341600000X

License

04123 Issued in PA

Legal business name

LAKE CITY FIRE COMPANY

Practice address

2232 Rice Ave
Lake City, PA 16423-1552

Phone

(814) 774-4402

Fax

(814) 774-9556

NPI assigned

Jan 8, 2007

Last updated

Jul 19, 2016By 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

Elizabeth Frances Jobczynski

Title

Deputy Chief EMS

Phone

(814) 774-4402

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• West County Paramedic Association

  • Land Ambulance
  • Girard, PA
  • NPI 1679538508

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1336297969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 RICE AVE",
            "city": "LAKE CITY",
            "state": "PA",
            "postal_code": "164231552",
            "telephone_number": "814-774-4402",
            "fax_number": "814-774-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 RICE AVE",
            "city": "LAKE CITY",
            "state": "PA",
            "postal_code": "164231552",
            "telephone_number": "814-774-4402",
            "fax_number": "814-774-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CITY FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "JOBCZYNSKI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "DEPUTY CHIEF EMS",
        "authorized_official_telephone_number": "814-774-4402"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011498700003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000205083",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590001354",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colette L Bone, LPC
• Girard School District
• David Godoy, RD
• Erin Lynn Hoeksema, OTR/L
• William Howard Johnson, RN, CCRC
• Amy McCall, MS OTR/L
• John Edward Miceli, D.M.D.
• Jillian Marie Rhoades, LCSW
• Charles William Terpilowski III
• Renee Wahlenmayer, M.A., CCC-SLP

• Ambulance in Lake City, PA
• Providers in Lake City, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.