Tafton Fire Company Incorporated

Organization Active NPI Land Ambulance · Tafton, PA

NPI 1609199744 · NPPES record last updated Nov 4, 2011

Key facts

NPI
1609199744
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
Legal business name
TAFTON FIRE COMPANY INCORPORATED
Practice address
235 State Route 507
Tafton, PA 18464
Phone
(570) 226-4273
Fax
(570) 226-6044
NPI assigned
Mar 3, 2010
Organization subpart
No

Authorized official

Name
John Tandy
Title
President
Phone
(570) 226-4273

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100628000585 PA Part B Supplier - Ambulance Service Supplier 4981735495 Practice locations: Tafton, PA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Yes

Addresses

Primary practice location

235 State Route 507
Tafton, PA 18464

Mailing address

PO Box 5
Tafton, PA 18464-0005
Phone (570) 226-4273

Other identifiers

IdentifierTypeStateIssuer
1024805890001MedicaidPA

Other providers in Tafton, PA

All providers in Tafton, PA · Land Ambulance in Pennsylvania

Sources for this page

Verify at the official NPI Registry.