Rocky Run Fire Company

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03239 Issued in PA

Legal business name

ROCKY RUN FIRE COMPANY

Practice address

1174 W Baltimore Pike
Media, PA 19063

Phone

(610) 565-3736

NPI assigned

Mar 2, 2006

Organization subpart

No

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

Authorized official

Name

Michael Johnson

Title

EMS Manager

Phone

(610) 500-3877

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1427025949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 W BALTIMORE PIKE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635128",
            "telephone_number": "610-500-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 W BALTIMORE PIKE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "610-565-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY RUN FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2023-04-17",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EMS MANAGER",
        "authorized_official_telephone_number": "610-500-3877"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012965900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Robert
• Jennifer Roberts, MA, LBS
• Meshea Robinson, RBT
• Safiya Robinson, LPC
• Rocky Mountain Holdings, LLC (JeffSTAT)
• Kennesha Rodgers
• Crestina Rodrigues, NURSE PRACTITIONER
• Alexandra Rodriguez
• V. Richard Roeder, PH.D.
• Denise Rolleri

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.