Loyalsock Volunteer Fire Company Number One

Primary specialty

AmbulanceTaxonomy code 341600000X

License

06012 Issued in PA

Legal business name

LOYALSOCK VOLUNTEER FIRE COMPANY NUMBER ONE

Practice address

715 Northway Rd
Williamsport, PA 17701-3813

Phone

(570) 323-3603

Fax

(570) 323-5060

NPI assigned

Dec 13, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Michael C Minnier

Title

Authorized Official

Phone

(570) 323-3603

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1427033398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HIGH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013100",
            "telephone_number": "570-321-3032",
            "fax_number": "570-321-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 NORTHWAY RD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013813",
            "telephone_number": "570-323-3603",
            "fax_number": "570-323-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYALSOCK VOLUNTEER FIRE COMPANY NUMBER ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "MINNIER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "570-323-3603",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "06012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007038980002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "590145024",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Mary Lovcik, MS
• Stephanie Lovell
• Loyalsock Chiropractic Center Inc.
• Loyalsock Dental Associates
• Loyalsock Mobility Services LLC
• Willem J Lubbe, MD
• Andrea Lucas, ATC
• Michael Ludwikowski, M.S., ATC.
• Melissa Luhrman
• Bruce Kevin Lundrigan, LSW

• Ambulance in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.