Organization Active NPI

Dushore Fire Co 1

  • Ambulance
  • Dushore, PA
National Provider Identifier
1922023605
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
05128 Issued in PA
Legal business name
DUSHORE FIRE CO 1
Practice address
Julia St
Dushore, PA 18614
Phone
(570) 928-8508
NPI assigned
Jul 13, 2006
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Ms. Nancy J Clark
Title
Clerical Billing Agent
Phone
(570) 268-2417

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 05128 PA Primary
Land Ambulance 3416L0300X 05128 PA

Addresses

Primary practice location

Julia St
Dushore, PA 18614

Mailing address

PO Box 111
Towanda, PA 18848-0111
Phone (570) 268-2417

Other identifiers 1

IdentifierTypeStateIssuer
0009433010003MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Dushore Fire Co 12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1922023605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188480111",
            "telephone_number": "570-268-2417",
            "fax_number": "570-265-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JULIA ST",
            "city": "DUSHORE",
            "state": "PA",
            "postal_code": "18614",
            "telephone_number": "570-928-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSHORE FIRE CO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLERICAL BILLING AGENT",
        "authorized_official_telephone_number": "570-268-2417",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "05128",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009433010003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dushore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.