Active NPI
Orbisonia Rockhill Fire Co Amb
- Land Ambulance
- Orbisonia, PA
National Provider Identifier
1881680957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 04287
- Legal business name
- ORBISONIA ROCKHILL FIRE CO AMB
- Practice address
- 15 Elliott St
Orbisonia, PA 17243 - Phone
- (814) 447-3221
- NPI assigned
- Sep 23, 2005
- Last updated
- Aug 22, 2020
- 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. Fred L McClain
- Title
- Trustee / Rescue Capt
- Phone
- (814) 447-3221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 04287 | PA | Primary |
Addresses
Primary practice location
15 Elliott St
Orbisonia, PA 17243
Mailing address
PO Box 207
Allentown, PA 18105-0207
Phone (800) 473-2278
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1131860 | Other | KEYSTONE MERCY HMO DPA | |
| 833832 | Other | UMWA HEALTH & RET. FUNDS | |
| 0030369 | Other | AETNA USHC BLUE BELL HMO | |
| 283430 | Other | PA | BCBS OF PA |
| 0008575170004 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881680957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181050207",
"telephone_number": "800-473-2278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ELLIOTT ST",
"city": "ORBISONIA",
"state": "PA",
"postal_code": "17243",
"telephone_number": "814-447-3221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORBISONIA ROCKHILL FIRE CO AMB",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCCLAIN",
"authorized_official_first_name": "FRED",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "TRUSTEE / RESCUE CAPT",
"authorized_official_telephone_number": "814-447-3221",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "04287",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HMO DPA",
"identifier": "1131860",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA HEALTH & RET. FUNDS",
"identifier": "833832",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC BLUE BELL HMO",
"identifier": "0030369",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF PA",
"identifier": "283430",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008575170004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orbisonia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.