Old Lycoming Township Volunteer Fire Co

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05243 Issued in PA

Legal business name

OLD LYCOMING TOWNSHIP VOLUNTEER FIRE CO

Practice address

1600 Dewey Ave
Williamsport, PA 17701-1514

Phone

(570) 323-7016

NPI assigned

Jan 20, 2006

Last updated

Jul 11, 2012By 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

Mr. Scott Hope

Title

President

Phone

(570) 323-7016

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Williamsport Area Ambulance Service Cooperative

  dba Susquehanna Regional EMS

  • Land Ambulance
  • Williamsport, PA
  • NPI 1013991389

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1992785364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HIGH STREET",
            "address_2": "C/O WILLIAMSPORT AREA AMBULANCE SERVICE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013109",
            "telephone_number": "570-321-2003",
            "fax_number": "570-321-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DEWEY AVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011514",
            "telephone_number": "570-323-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD LYCOMING TOWNSHIP VOLUNTEER FIRE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "HOPE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-323-7016",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia Gialuong O'Brien, PA-C
• Wanda Louise O'Neill, LCSW
• Amber Obrien
• Mark Odorizzi
• Diana Ohl
• Sharad Oli, MD
• Stuart Olinsky
• Kurt H Olsen, PHD
• Douglas J Ombongi, CRNA
• Myoe Htet Htet Oo, MD

• Land Ambulance in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.