Dingman Township Volunteer Fire Department Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05129 Issued in PA

Legal business name

DINGMAN TOWNSHIP VOLUNTEER FIRE DEPARTMENT INC.

Practice address

680 Log Tavern Rd
Milford, PA 18337-7784

Phone

(570) 686-3696

Fax

(570) 686-5617

NPI assigned

Feb 27, 2007

Last updated

Jun 18, 2013By 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

Mr. William Mikulak

Title

President

Phone

(570) 686-3696

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1770610859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195250417",
            "telephone_number": "610-705-3979",
            "fax_number": "610-705-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 LOG TAVERN RD",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183377784",
            "telephone_number": "570-686-3696",
            "fax_number": "570-686-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINGMAN TOWNSHIP VOLUNTEER FIRE DEPARTMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "MIKULAK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-686-3696",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETO GBA",
            "identifier": "590014638",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBC",
            "identifier": "2067631000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012648900002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "056980",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Devoe, LMHC
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• Martha S Dubensky

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.