Ladies Auxiliary of the Clifford Township Volunteer Fire Company

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05081 Issued in PA

Legal business name

LADIES AUXILIARY OF THE CLIFFORD TOWNSHIP VOLUNTEER FIRE COMPANY

Practice address

State Route 106
Clifford, PA 18413-9800

Phone

(570) 222-3741

Fax

(570) 222-2508

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Ellie Defazio

Title

President

Phone

(570) 222-3741

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770660755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "CLIFFORD",
            "state": "PA",
            "postal_code": "184130092",
            "telephone_number": "571-222-3741",
            "fax_number": "570-222-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE ROUTE 106",
            "city": "CLIFFORD",
            "state": "PA",
            "postal_code": "184139800",
            "telephone_number": "570-222-3741",
            "fax_number": "570-222-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADIES AUXILIARY OF THE CLIFFORD TOWNSHIP VOLUNTEER FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEFAZIO",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-222-3741"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7619023",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "800408",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008070140002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON-THREE RIVERS",
            "identifier": "0008070140002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Airgood, LPC
• Clifford Family Chiropractic
• Clifford Township Volunteer Fire Company
• Sandra Cosklo, DO
• Endless Mountains Pharmacy Inc (Endless Mountains Pharmacy)
• Maxis Medical Services (endless mountain medical clinic)
• Jared M Shayka, PHARMD
• Russell Paul Swetter, DDS
• William Scott Wagner, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.