Moscow Fire and Hose Company

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MOSCOW FIRE AND HOSE COMPANY

Practice address

117 N Main St
Moscow, PA 18444-9020

Phone

(570) 842-7211

Fax

(570) 842-7137

NPI assigned

May 11, 2006

Last updated

Jan 7, 2014By 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

Erin O'Malley-Guse

Title

Fire Chief

Phone

(570) 499-3519

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1649220500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N MAIN ST",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184449020",
            "telephone_number": "570-842-7211",
            "fax_number": "570-842-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N MAIN ST",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184449020",
            "telephone_number": "570-842-7211",
            "fax_number": "570-842-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSCOW FIRE AND HOSE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "O'MALLEY-GUSE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "570-499-3519"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012905310001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "30533",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "005653242",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ratibor Kosov
• Kegan Laman, MA, LAPC
• Paul Matthew Lydon, DC
• Richard Eugene Margerum, OD
• Mercy Group Practice LLC
• David John Nagurney, DDS
• Maria Nardone, DPT
• Zachary John Niemiec, PHARMD
• North Pocono School District
• Pharmacy Operations Inc (Medicine Shoppe)

• Land Ambulance in Moscow, PA
• Providers in Moscow, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.