The Friendship Hose Company No 1 of Newville PA

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

THE FRIENDSHIP HOSE COMPANY NO 1 OF NEWVILLE PA

Doing business as

Newville Community Ambulacne

Practice address

15 East Big Spring Road
Newville, PA 17241

Phone

(717) 776-4747

Fax

(717) 776-9321

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Troy Lee Wiser

Title

President

Phone

(717) 776-4747

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Newville Community Ambulacne Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1376508515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W MAIN ST",
            "address_2": "PO BOX 3539",
            "city": "SHIREMANSTOWN",
            "state": "PA",
            "postal_code": "170116326",
            "telephone_number": "717-920-8460",
            "fax_number": "717-901-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EAST BIG SPRING ROAD",
            "city": "NEWVILLE",
            "state": "PA",
            "postal_code": "17241",
            "telephone_number": "717-776-4747",
            "fax_number": "717-776-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FRIENDSHIP HOSE COMPANY NO 1 OF NEWVILLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "WISER",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-776-4747"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011651300006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590010513",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newville Community Ambulacne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcia Jean Sinkovitz, M.S.,LPC
• Start Fresh Nutrition
• Morgan K Stodart, PT
• Abigail Catherine Sweger
• Rebecca C Tanz
• Dimitri Theofanis, PT, DPT, CSCS
• Kendal Mae Thomas, PT
• Jay A Townsend, MD
• Michael P Vangrouw, PA-C
• Jennifer Wickard, MSPT

• Land Ambulance in Newville, PA
• Providers in Newville, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.