Organization Active NPI

Orbisonia Rockhill Fire Co Amb

  • Land Ambulance
  • Orbisonia, PA
National Provider Identifier
1881680957
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04287 Issued in PA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1131860OtherKEYSTONE MERCY HMO DPA
833832OtherUMWA HEALTH & RET. FUNDS
0030369OtherAETNA USHC BLUE BELL HMO
283430OtherPABCBS OF PA
0008575170004MedicaidPA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.