Wilcox Volunteer Fire Department

Primary specialty

AmbulanceTaxonomy code 341600000X

License

24005 Issued in PA

Legal business name

WILCOX VOLUNTEER FIRE DEPARTMENT

Practice address

84 Lawrence Street
Wilcox, PA 15870-0117

Phone

(814) 929-5330

Fax

(814) 929-5330

NPI assigned

Feb 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thor Edward Lehman, EMT

Title

Captain

Phone

(814) 929-5843

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912049933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 LAWRENCE STREET PO BOX 117",
            "city": "WILCOX",
            "state": "PA",
            "postal_code": "158700117",
            "telephone_number": "814-929-5330",
            "fax_number": "814-929-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 LAWRENCE STREET",
            "city": "WILCOX",
            "state": "PA",
            "postal_code": "158700117",
            "telephone_number": "814-929-5330",
            "fax_number": "814-929-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILCOX VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "THOR",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "814-929-5843",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "24005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078251770001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Wilcox, PA
• Providers in Wilcox, PA by specialty
• Ambulance in Pennsylvania

• 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.
• 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.