Organization Active NPI

Willing Hand Hose Company No 1 Inc

  • Land Ambulance
  • Montoursville, PA
National Provider Identifier
1922219690
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WILLING HAND HOSE COMPANY NO 1 INC
Practice address
821 Broad St.
Montoursville, PA 17754-2405
Phone
(570) 368-2260
Fax
(570) 368-7440
NPI assigned
May 24, 2007
Last updated
Feb 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Mr. David A McKee
Title
President
Phone
(570) 368-2260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

821 Broad St.
Montoursville, PA 17754-2405

Mailing address

PO Box 367
Montoursville, PA 17754-0367
Phone (570) 368-2260

Other identifiers 1

IdentifierTypeStateIssuer
0018407480003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100428000275 PA Part B Supplier - Ambulance Service Supplier 4587791397 Practice locations: Montoursville, PA

National Provider Directory

National Provider Directory

Locations

821 Broad St
Montoursville, PA 17754
Phone (570) 368-2260

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1922219690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177540367",
            "telephone_number": "570-368-2260",
            "fax_number": "570-368-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 BROAD ST.",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177542405",
            "telephone_number": "570-368-2260",
            "fax_number": "570-368-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLING HAND HOSE COMPANY NO 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-368-2260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018407480003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montoursville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.