Organization Active NPI

Lineboro Volunteer Fire Department, Inc

  • Ambulance
  • Lineboro Cpo, MD
National Provider Identifier
1477650596
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
LINEBORO VOLUNTEER FIRE DEPARTMENT, INC
Practice address
4224 Main St
Lineboro Cpo, MD 21102-3125
Phone
(410) 374-2197
Fax
(410) 374-9254
NPI assigned
Sep 20, 2006
Last updated
Jan 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
John L Krebs IV
Title
President
Phone
(410) 239-4670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

4224 Main St
Lineboro Cpo, MD 21102-3125

Mailing address

PO Box 947
Chambersburg, PA 17201-0947
Phone (717) 263-5562

Other identifiers 1

IdentifierTypeStateIssuer
856600300MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1477650596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172010947",
            "telephone_number": "717-263-5562",
            "fax_number": "717-263-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 MAIN ST",
            "city": "LINEBORO CPO",
            "state": "MD",
            "postal_code": "211023125",
            "telephone_number": "410-374-2197",
            "fax_number": "410-374-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINEBORO VOLUNTEER FIRE DEPARTMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "KREBS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-239-4670",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "856600300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.