JESSUP HOSE CO 2 NPI 1477612364

NPI Information

  • NPI: 1477612364
  • Provider Name: JESSUP HOSE CO 2
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • CLIA Number: 39D2289398
  • Address: 333 HILL ST
    JESSUP, PA
    ZIP 18434
  • Phone: (570) 498-1141

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NPI Details

JESSUP HOSE CO 2 is a land transport ambulance in Jessup, PA. JESSUP HOSE CO 2 NPI is 1477612364. The provider is registered as an organization entity type.

The provider's business location address is:

333 HILL ST
JESSUP, PA
ZIP 18434-036
Phone: (570) 498-1141

The provider's authorized official is Mike Faramelli .
The authorized official title is Chief and has the following contact phone number (570) 489-1141.

The CLIA number assigned to this NPI record is 39D2289398 - ambulance with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)

The enumeration date for this NPI number is 12/6/2006 and was last updated on 6/4/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport05117PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10011760450001MEDICAIDPENNSYLVANIA
2800356OTHERFEDERAL BLACK LUNG
3286993MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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