Organization Active NPI

Slocum Township Volunteer Fire Company No 1

  • Land Ambulance
  • Wapwallopen, PA
National Provider Identifier
1821010331
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SLOCUM TOWNSHIP VOLUNTEER FIRE COMPANY NO 1
Practice address
1923 Slocum Rd
Wapwallopen, PA 18660-8886
Phone
(570) 868-6255
Fax
(570) 868-3815
NPI assigned
Jul 24, 2006
Last updated
Feb 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Theodore M Wiaterowski Jr.
Title
EMS Captain/Billing Officer
Phone
(570) 868-6255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1923 Slocum Rd
Wapwallopen, PA 18660-8886

Mailing address

1923 Slocum Rd
Wapwallopen, PA 18660-8886
Phone (570) 868-6255

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1821010331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 SLOCUM RD",
            "city": "WAPWALLOPEN",
            "state": "PA",
            "postal_code": "186608886",
            "telephone_number": "570-868-6255",
            "fax_number": "570-868-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 SLOCUM RD",
            "city": "WAPWALLOPEN",
            "state": "PA",
            "postal_code": "186608886",
            "telephone_number": "570-868-6255",
            "fax_number": "570-868-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLOCUM TOWNSHIP VOLUNTEER FIRE COMPANY NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "WIATEROWSKI",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EMS CAPTAIN/BILLING OFFICER",
        "authorized_official_telephone_number": "570-868-6255",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapwallopen, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.