Union Fire Co 1 Amb Div

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03340 Issued in PA

Legal business name

UNION FIRE CO 1 AMB DIV

Practice address

315 Market St
Oxford, PA 19363-1669

Phone

(717) 464-0724

NPI assigned

Nov 29, 2005

Organization subpart

No

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

Authorized official

Name

Daniel C Roth

Title

Billing

Phone

(717) 464-0724

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1861475386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175840329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MARKET ST",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631669",
            "telephone_number": "717-464-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION FIRE CO 1 AMB DIV",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "717-464-0724"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007000540002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristopher James Swanson
• Hillary Sycalik, DPT
• Erica Thomas, PHARMD
• Deanna Marie Tiernan
• Christian Reid Turpen, ATC
• Jhosset Stefania Vinueza-Cordova, CRNP
• Wal-Mart Stores East LP (Wal-Mart Vision Center 30-5795)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-5795)
• Walgreen Co (Walgreens #11074)
• Benjamin Peter Wenger, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.