Organization Active NPI

North East Fire Company Inc

  • Land Ambulance
  • North East, MD
National Provider Identifier
1366505919
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NORTH EAST FIRE COMPANY INC
Practice address
210 S Mauldin Ave
North East, MD 21901-4028
Phone
(410) 287-8222
Fax
(724) 887-9440
NPI assigned
Dec 18, 2006
Last updated
May 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Karlene H Secor
Title
Career Services Lieutenant
Phone
(410) 287-8222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

210 S Mauldin Ave
North East, MD 21901-4028

Mailing address

409 Porter Ave
Scottdale, PA 15683-1141
Phone (724) 887-6822

Other identifiers 4

IdentifierTypeStateIssuer
N799OtherMDFEDERAL BLUE SHIELD
109015OtherMDHEALTH AMERICA
543208100MedicaidMD
Z331OtherMDCAREFIRST BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081016000371 MD Part B Supplier - Ambulance Service Supplier 1951469162 Practice locations: North East, MD

National Provider Directory

National Provider Directory

Locations

210 S Mauldin Ave
North East, MD 21901
Phone (410) 287-8222

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1366505919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831141",
            "telephone_number": "724-887-6822",
            "fax_number": "724-887-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S MAULDIN AVE",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219014028",
            "telephone_number": "410-287-8222",
            "fax_number": "724-887-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST FIRE COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "SECOR",
        "authorized_official_first_name": "KARLENE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CAREER SERVICES LIEUTENANT",
        "authorized_official_telephone_number": "410-287-8222"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE SHIELD",
            "identifier": "N799",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "109015",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543208100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS",
            "identifier": "Z331",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North East, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.