Stancliff Hose Company

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

02258 Issued in PA

Legal business name

STANCLIFF HOSE COMPANY

Doing business as

Stancliff Hose Company EMS

Practice address

328 High St
Waterford, PA 16441-8310

Phone

(814) 796-2181

Fax

(814) 796-6790

NPI assigned

Jan 14, 2006

Organization subpart

No

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

Authorized official

Name

Ron Jagta

Title

Vice President

Phone

(814) 796-2181

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stancliff Hose Company EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1427037779",
    "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": "328 HIGH ST",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164418310",
            "telephone_number": "814-796-2181",
            "fax_number": "814-796-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANCLIFF HOSE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-14",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "JAGTA",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "814-796-2181"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "02258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007135350003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stancliff Hose Company EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stancliff Hose Company EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.