Organization Active NPI

Rose Fire Co. No 1 of New Freedom Borough York County PA

  • Ambulance
  • New Freedom, PA
National Provider Identifier
1790777530
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
04190 Issued in 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
Last updated
May 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.