Organization Active NPI

Milford Fire Department

  • Ambulance
  • Milford, PA
National Provider Identifier
1629295357
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
050026 Issued in PA
Legal business name
MILFORD FIRE DEPARTMENT
Practice address
107 W Catherine St
Milford, PA 18337-1417
Phone
(570) 296-6121
Fax
(570) 296-4131
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Dillan Ira Miller
Title
EMS Captain
Phone
(570) 982-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 050026 PA Primary

Addresses

Primary practice location

107 W Catherine St
Milford, PA 18337-1417

Mailing address

PO Box 1369
Milford, PA 18337-2369
Phone (570) 296-6121

Other identifiers 4

IdentifierTypeStateIssuer
803857OtherPAFIRST PRIOITY
0016325850004OtherPAMEDICAL ASSISTANCE
0867463OtherPAAETNA
590011261OtherPARR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091231000013 PA Part B Supplier - Ambulance Service Supplier 5597806349 Practice locations: Milford, PA

National Provider Directory

National Provider Directory

Locations

107 W Catherine St
Milford, PA 18337
Phone (570) 296-6121

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1629295357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1369",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183372369",
            "telephone_number": "570-296-6121",
            "fax_number": "570-296-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W CATHERINE ST",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183371417",
            "telephone_number": "570-296-6121",
            "fax_number": "570-296-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DILLAN",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "EMS CAPTAIN",
        "authorized_official_telephone_number": "570-982-3311"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "050026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIOITY",
            "identifier": "803857",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "0016325850004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0867463",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590011261",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.