Organization Active NPI

McAdoo Fire Company Ambulance Association, Inc

  • Land Ambulance
  • McAdoo, PA
National Provider Identifier
1437132347
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MCADOO FIRE COMPANY AMBULANCE ASSOCIATION, INC
Practice address
34 S Kennedy Dr
McAdoo, PA 18237-1806
Phone
(570) 929-2042
Fax
(570) 929-1153
NPI assigned
Nov 23, 2005
Last updated
May 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Robert N Leshko
Title
Treasurer
Phone
(570) 929-2042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

34 S Kennedy Dr
McAdoo, PA 18237-1806

Mailing address

PO Box 97
McAdoo, PA 18237-0097
Phone (570) 929-2042

Other identifiers 1

IdentifierTypeStateIssuer
0012365000003MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100628000424 PA Part B Supplier - Ambulance Service Supplier 1557492055 Practice locations: McAdoo, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2134017McAdoo Fire Co Inc Ambulance34 S Kennedy Dr, McAdoo, PA 18237Certificate of waiverJul 24, 2027

National Provider Directory

National Provider Directory

Locations

34 S Kennedy Dr
McAdoo, PA 18237
Phone (570) 929-2042

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1437132347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "MCADOO",
            "state": "PA",
            "postal_code": "182370097",
            "telephone_number": "570-929-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S KENNEDY DR",
            "city": "MCADOO",
            "state": "PA",
            "postal_code": "182371806",
            "telephone_number": "570-929-2042",
            "fax_number": "570-929-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCADOO FIRE COMPANY AMBULANCE ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "LESHKO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "570-929-2042"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012365000003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAdoo, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.