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

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2139533White Horse Fire Company
111 White Horse Road, Gap, PA 17527
Certificate of waiverNov 5, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001260416MedicaidPA

Other providers in Gap, PA

All providers in Gap, PA · Land Ambulance in Pennsylvania

Sources for this page

Verify at the official NPI Registry.