Lake Shore Fire Department

Primary specialty

AmbulanceTaxonomy code 341600000X

License

04166 Issued in PA

Legal business name

LAKE SHORE FIRE DEPARTMENT

Practice address

5310 W Lake Rd
Erie, PA 16505-2869

Phone

(814) 833-6508

NPI assigned

May 11, 2007

Last updated

Nov 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara O'Brien

Title

President

Phone

(814) 833-6508

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Millcreek Paramedic Service, Inc.

  • Ambulance
  • Erie, PA
  • NPI 1396965307

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1609081033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 W LAKE RD",
            "address_2": "PO BOX 8566",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 W LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052869",
            "telephone_number": "814-833-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SHORE FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-833-6508"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Erie OB-GYN Inc
• Lake Erie Orthopaedics LLC
• Lake Erie Podiatry, LLC
• Lake Erie Spine and Injury Center
• Lake Erie Womens Center
• Jessica Elaine Lake, MS, RDN, LD
• Lakeland Area Hospice LP
• Lakeshore Community Services, Inc.
• Lakeshore Comunity Services, Inc.
• Holly Lalewicz

• Ambulance in Erie, PA
• Providers in Erie, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.