Active NPI
Sugarloaf Fire Company, Inc.
- Land Ambulance
- Sugarloaf, PA
National Provider Identifier
1609050426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020901620001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080208000157 | PA | Part B Supplier - Ambulance Service Supplier | 1153404579 | Practice locations: Sugarloaf, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2140643 | Sugarloaf Fire Company Inc | Certificate of waiver | Nov 27, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.