NPIMap

Organization Active NPI

Clifford Township Volunteer Fire Company

  • Land Ambulance
  • Clifford, PA
National Provider Identifier
1518145879
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
05081 Issued in PA
Legal business name
CLIFFORD TOWNSHIP VOLUNTEER FIRE COMPANY
Practice address
84 Main St
Clifford, PA 18413-9800
Phone
(570) 222-3741
Fax
(570) 222-2508
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Mrs. Constance G Schulte
Title
Ambulance Administrator
Phone
(570) 222-3741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 05081 PA Primary

Addresses

Primary practice location

84 Main St
Clifford, PA 18413-9800

Mailing address

PO Box 10
Clifford, PA 18413-0010
Phone (570) 222-3741

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080108000753 PA Part B Supplier - Ambulance Service Supplier 8123108776 Practice locations: Clifford, PA

National Provider Directory

National Provider Directory

Locations

84 Main St
Clifford Twp, PA 18446
Phone (570) 222-3741

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1518145879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "CLIFFORD",
            "state": "PA",
            "postal_code": "184130010",
            "telephone_number": "570-222-3741",
            "fax_number": "570-222-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 MAIN ST",
            "city": "CLIFFORD",
            "state": "PA",
            "postal_code": "184139800",
            "telephone_number": "570-222-3741",
            "fax_number": "570-222-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD TOWNSHIP VOLUNTEER FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "SCHULTE",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "AMBULANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "570-222-3741",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.