NPIMap

Organization Active NPI

Newport Township Firemens Community Ambulance

  • Land Ambulance
  • Nanticoke, PA
National Provider Identifier
1598057960
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
05054 Issued in PA
Legal business name
NEWPORT TOWNSHIP FIREMENS COMMUNITY AMBULANCE
Practice address
1002 Center St
Nanticoke, PA 18634-1904
Phone
(570) 735-2000
Fax
(570) 736-4303
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Harald Destefano
Title
Treasurer
Phone
(570) 735-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 05054 PA Primary

Addresses

Primary practice location

1002 Center St
Nanticoke, PA 18634-1904

Mailing address

PO Box 1846
Shavertown, PA 18708-0846
Phone (570) 714-3694

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1598057960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1846",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187080846",
            "telephone_number": "570-714-3694",
            "fax_number": "570-714-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 CENTER ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341904",
            "telephone_number": "570-735-2000",
            "fax_number": "570-736-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT TOWNSHIP FIREMENS COMMUNITY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "DESTEFANO",
        "authorized_official_first_name": "HARALD",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "570-735-2000"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanticoke, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.