Rose Fire Co. No 1 of New Freedom Borough York County PA
Organization Active NPI Ambulance · New Freedom, PA
NPI 1790777530 · NPPES record last updated May 6, 2013
Key facts
- NPI
- 1790777530
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 04190 (PA)
- 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Keith Russell
- Title
- EMS Chief
- Phone
- (717) 235-4444
Other NPIs on the same Medicare enrollment 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 04190 | PA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012341490001 | Medicaid | PA |
Other providers in New Freedom, PA
- Mary Collette Parks
- Douglas H Prince
- Paul J Prosser III
- Caitlin Quinton
- Michelle Rabinovich
- Rose Fire Company #1 of the New Freedom Borough York County PA
- Jean Elaine Rudisill
- Michelle L Runge
- Jamie Lynne Rygiel
- Justin Savakinus
All providers in New Freedom, PA · Ambulance in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2013. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.