Active NPI
Clarendon Fire Department
- Land Ambulance
- Clarendon, PA
National Provider Identifier
1871583138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 6200205
- Legal business name
- CLARENDON FIRE DEPARTMENT
- Practice address
- 17 Main Street
Clarendon, PA 16313 - Phone
- (814) 723-4951
- Fax
- (814) 723-5787
- NPI assigned
- Oct 26, 2005
- Last updated
- Mar 22, 2013
- 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
- Paul J Pascuzzi
- Title
- President
- Phone
- (814) 723-1088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 6200205 | PA | Primary |
Addresses
Primary practice location
17 Main Street
Clarendon, PA 16313
Mailing address
17 North Main Street
Clarendon, PA 16313
Phone (814) 723-4951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012523070002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060525000079 | PA | Part B Supplier - Ambulance Service Supplier | 4183635402 | Practice locations: Clarendon, PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363910400000",
"number": "1871583138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 NORTH MAIN STREET",
"city": "CLARENDON",
"state": "PA",
"postal_code": "16313",
"telephone_number": "814-723-4951",
"fax_number": "814-723-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 MAIN STREET",
"city": "CLARENDON",
"state": "PA",
"postal_code": "16313",
"telephone_number": "814-723-4951",
"fax_number": "814-723-5787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARENDON FIRE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-26",
"last_updated": "2013-03-22",
"status": "A",
"authorized_official_last_name": "PASCUZZI",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-723-1088"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "6200205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012523070002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarendon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.