Organization Active NPI

Lebanon Fire Department First Aid and Safety Patrol

  • Ambulance
  • Lebanon, PA
National Provider Identifier
1811939457
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
03205 Issued in PA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20090615000306 PA Part B Supplier - Ambulance Service Supplier 5496805327 Practice locations: Lebanon, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1068944First Aid and Safety Patrol254 South 11TH Street, Lebanon, PA 17042Certificate of waiverMay 22, 2027

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.