Active NPI
Auburn Fire Company Ambulance Service
- Ambulance
- Auburn, PA
National Provider Identifier
1992796825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 03038
- Legal business name
- AUBURN FIRE COMPANY AMBULANCE SERVICE
- Practice address
- 131 1/2 S Front St
Auburn, PA 17922-8930 - Phone
- (570) 754-7919
- Fax
- (570) 754-7919
- NPI assigned
- Oct 31, 2005
- Last updated
- Sep 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Judy A. Epting, E.M.T.
- Title
- President
- Phone
- (570) 754-7919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 03038 | PA | Primary |
Addresses
Primary practice location
131 1/2 S Front St
Auburn, PA 17922-8930
Mailing address
131 1/2 S Front St
P.O. Box 7
Auburn, PA 17922-8930
Phone (570) 754-7919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012007680002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080903000019 | PA | Part B Supplier - Ambulance Service Supplier | 4789750522 | Practice locations: Auburn, PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220400000000",
"number": "1992796825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 1/2 S FRONT ST",
"address_2": "P.O. BOX 7",
"city": "AUBURN",
"state": "PA",
"postal_code": "179228930",
"telephone_number": "570-754-7919",
"fax_number": "570-754-7919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 1/2 S FRONT ST",
"city": "AUBURN",
"state": "PA",
"postal_code": "179228930",
"telephone_number": "570-754-7919",
"fax_number": "570-754-7919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUBURN FIRE COMPANY AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-31",
"last_updated": "2008-09-03",
"status": "A",
"authorized_official_last_name": "EPTING",
"authorized_official_first_name": "JUDY",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-754-7919",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "E.M.T."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PA",
"license": "03038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012007680002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.