Organization Active NPI

Sugarloaf Fire Company, Inc.

  • Land Ambulance
  • Sugarloaf, PA
National Provider Identifier
1609050426
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SUGARLOAF FIRE COMPANY, INC.
Practice address
95 West County Road
Sugarloaf, PA 18249
Phone
(570) 788-2249
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
John H Gregory
Title
President
Phone
(570) 788-2249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

95 West County Road
Sugarloaf, PA 18249

Mailing address

PO Box 80
Sybertsville, PA 18251-0080
Phone (570) 788-2249

Other identifiers 1

IdentifierTypeStateIssuer
1020901620001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080208000157 PA Part B Supplier - Ambulance Service Supplier 1153404579 Practice locations: Sugarloaf, 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
39D2140643Sugarloaf Fire Company Inc95 W County Road, Sugarloaf, PA 18249Certificate of waiverNov 27, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1609050426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80",
            "city": "SYBERTSVILLE",
            "state": "PA",
            "postal_code": "182510080",
            "telephone_number": "570-788-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WEST COUNTY ROAD",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "18249",
            "telephone_number": "570-788-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGARLOAF FIRE COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-788-2249"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020901620001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugarloaf, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.