White Horse Fire Company
Organization Active NPI Land Ambulance · Gap, PA
NPI 1689675910 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1689675910
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 05160 (PA)
- Legal business name
- WHITE HORSE FIRE COMPANY
- Practice address
- 111 White Horse Rd
Gap, PA 17527-9437 - Phone
- (717) 768-3454
- NPI assigned
- Aug 9, 2005
- Organization subpart
- No
Authorized official
- Name
- Samuel King
- Title
- EMS Chief
- Phone
- (717) 875-4601
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2139533 | White Horse Fire Company | Certificate of waiver | Nov 5, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060811000335 | PA | Part B Supplier - Ambulance Service Supplier | 8527061522 | Practice locations: Gap, PA |
National Provider Directory
Locations
111 White Horse Rd
Gap, PA 17527
Phone (717) 354-2387
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 05160 | PA | Yes |
Addresses
Primary practice location
111 White Horse Rd
Gap, PA 17527-9437
Mailing address
111 White Horse Rd
Gap, PA 17527-9437
Phone (717) 768-3454
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001260416 | Medicaid | PA |
Other providers in Gap, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.