Active NPI
Borough of Chambersburg
- Basic Emergency Medical Technician
- Chambersburg, PA
National Provider Identifier
1366418766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 04073
- Legal business name
- BOROUGH OF CHAMBERSBURG
- Practice address
- 130 N 2ND St
Chambersburg, PA 17201-1697 - Phone
- (717) 261-3230
- NPI assigned
- Feb 24, 2006
- 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
- Mr. Casimir Rzomp
- Title
- Borough of Chambersburg Treasurer
- Phone
- (717) 261-3248
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 04073 | PA | Primary |
Addresses
Primary practice location
130 N 2ND St
Chambersburg, PA 17201-1697
Mailing address
100 S 2ND St
Chambersburg, PA 17201-2515
Phone (717) 261-3256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007009670001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111212000555 | PA | Part B Supplier - Ambulance Service Supplier | 7012182595 | Practice locations: Chambersburg, PA |
National Provider Directory
National Provider DirectoryLocations
130 N 2nd St
Chambersburg, PA 17201
Phone (717) 261-3230
261 E McKinley St
Chambersburg, PA 17201
Phone (717) 263-5871
100 S 2nd St
Chambersburg, PA 17201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193702400000",
"number": "1366418766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S 2ND ST",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172012515",
"telephone_number": "717-261-3256",
"fax_number": "717-263-2381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 N 2ND ST",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172011697",
"telephone_number": "717-261-3230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOROUGH OF CHAMBERSBURG",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-24",
"last_updated": "2007-10-30",
"status": "A",
"authorized_official_last_name": "RZOMP",
"authorized_official_first_name": "CASIMIR",
"authorized_official_title_or_position": "BOROUGH OF CHAMBERSBURG TREASURER",
"authorized_official_telephone_number": "717-261-3248",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Basic",
"state": "PA",
"license": "04073",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007009670001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.