Media Fire and Hook and Ladder Company #1

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

15017 Issued in PA

Legal business name

MEDIA FIRE AND HOOK AND LADDER COMPANY #1

Practice address

11 S Jackson St
Media, PA 19063-2913

Phone

(610) 565-3738

NPI assigned

Jun 4, 2006

Last updated

Sep 23, 2016By 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

Bryan Rachko

Title

Acting Captain

Phone

(610) 565-3738

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1811936214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S JACKSON ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632913",
            "telephone_number": "610-565-3738",
            "fax_number": "610-565-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S JACKSON ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632913",
            "telephone_number": "610-565-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIA FIRE AND HOOK AND LADDER COMPANY #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "RACHKO",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "ACTING CAPTAIN",
        "authorized_official_telephone_number": "610-565-3738"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "15017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022535800001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00068150",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Media Dental Associates DMD LLC
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• Media Eye Care LLC
• Media Eye Works LTD
• Media Family Dentistry, PC
• Media Hearing Aid Center, P.C.
• Media Lima Dental Associates LLC
• Media Lima Dental LLC
• Media Psychiatric Services, LLC
• Media Smiles PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.