Active NPI
Rose Fire Co. No 1 of New Freedom Borough York County PA
- Ambulance
- New Freedom, PA
National Provider Identifier
1790777530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 04190
- Legal business name
- ROSE FIRE CO. NO 1 OF NEW FREEDOM BOROUGH YORK COUNTY PA
- Practice address
- 200 E Main St
New Freedom, PA 17349-9336 - Phone
- (717) 235-4444
- Fax
- (717) 235-6967
- NPI assigned
- Aug 18, 2005
- Last updated
- May 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Keith Russell
- Title
- EMS Chief
- Phone
- (717) 235-4444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 04190 | PA | Primary |
Addresses
Primary practice location
200 E Main St
New Freedom, PA 17349-9336
Mailing address
200 E Main St
New Freedom, PA 17349-9336
Phone (717) 235-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060830000213 | PA | Part B Supplier - Ambulance Service Supplier | 8123022399 |
1 other NPI on this enrollment Practice locations: New Freedom, PA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ambulance
- New Freedom, PA
- NPI 1982810651
O20060830000213
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367798400000",
"number": "1790777530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E MAIN ST",
"city": "NEW FREEDOM",
"state": "PA",
"postal_code": "173499336",
"telephone_number": "717-235-4444",
"fax_number": "717-235-6967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E MAIN ST",
"city": "NEW FREEDOM",
"state": "PA",
"postal_code": "173499336",
"telephone_number": "717-235-4444",
"fax_number": "717-235-6967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE FIRE CO. NO 1 OF NEW FREEDOM BOROUGH YORK COUNTY PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-18",
"last_updated": "2013-05-06",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "EMS CHIEF",
"authorized_official_telephone_number": "717-235-4444",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PA",
"license": "04190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Freedom, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.