Organization Active NPI

Marysville Fire Co

  • Land Ambulance
  • Marysville, PA
National Provider Identifier
1902805344
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04248 Issued in PA
Legal business name
MARYSVILLE FIRE CO
Practice address
326 Cameron St
Marysville, PA 17053-1309
Phone
(717) 957-4130
NPI assigned
Jul 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
John Richards
Title
Secretary/Treasurer
Phone
(717) 957-4130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 04248 PA Primary

Addresses

Primary practice location

326 Cameron St
Marysville, PA 17053-1309

Mailing address

PO Box 726
New Cumberland, PA 17070-0726
Phone (717) 214-6018

Other identifiers 1

IdentifierTypeStateIssuer
001773814MedicaidPA

National Provider Directory

National Provider Directory

Locations

326 Cameron St
Marysville, PA 17053
Phone (717) 957-2323

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1902805344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170700726",
            "telephone_number": "717-214-6018",
            "fax_number": "717-214-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 CAMERON ST",
            "city": "MARYSVILLE",
            "state": "PA",
            "postal_code": "170531309",
            "telephone_number": "717-957-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYSVILLE FIRE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "717-957-4130"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001773814",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.