Organization Active NPI

Auburn Fire Company Ambulance Service

  • Ambulance
  • Auburn, PA
National Provider Identifier
1992796825
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
03038 Issued in PA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0012007680002MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080903000019 PA Part B Supplier - Ambulance Service Supplier 4789750522 Practice locations: Auburn, PA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.