Active NPI
Lebanon Fire Department First Aid and Safety Patrol
- Ambulance
- Lebanon, PA
National Provider Identifier
1811939457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 03205
- Legal business name
- LEBANON FIRE DEPARTMENT FIRST AID AND SAFETY PATROL
- Practice address
- 254 S 11TH St
Lebanon, PA 17042-5918 - Phone
- (717) 272-1234
- Fax
- (717) 270-2875
- NPI assigned
- Jun 11, 2006
- Last updated
- Jun 25, 2008
- 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. Bryan Smith
- Title
- Executive Director
- Phone
- (717) 272-1234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 03205 | PA | Primary |
Addresses
Primary practice location
254 S 11TH St
Lebanon, PA 17042-5918
Mailing address
254 S 11TH St
Lebanon, PA 17042-5918
Phone (717) 272-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090615000306 | PA | Part B Supplier - Ambulance Service Supplier | 5496805327 | Practice locations: Lebanon, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1068944 | First Aid and Safety Patrol | Certificate of waiver | May 22, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1811939457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 S 11TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170425918",
"telephone_number": "717-272-1234",
"fax_number": "717-270-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 S 11TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170425918",
"telephone_number": "717-272-1234",
"fax_number": "717-270-2875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEBANON FIRE DEPARTMENT FIRST AID AND SAFETY PATROL",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "717-272-1234",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PA",
"license": "03205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
- Lebanon Emergency Medical Associates PLLC
- Lebanon Emergency Physicians PC
- Lebanon Eyecare Associates
- Lebanon Family Dental
- Lebanon Family Health Service Inc.
- Lebanon Home LLC
- Lebanon Imaging Associates, PC
- Lebanon Internal Medicine Associates PC
- Lebanon Internal Medicine Associates, P.C.
- Lebanon MRI Associates, LTD (GSH Imaging Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.