FAIRFIELD HOSE COMPANY NPI 1689653933

NPI Information

NPI: 1689653933
Provider Name: FAIRFIELD HOSE COMPANY
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
4896 E LAKE RD
ERIE, PA
ZIP 16511
Phone: (814) 898-0007
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FAIRFIELD HOSE COMPANY is a land transport ambulance in Erie, PA. FAIRFIELD HOSE COMPANY NPI is 1689653933. The provider is registered as an organization entity type.

The provider's business location address is:

4896 E LAKE RD
ERIE, PA
ZIP 16511-415
Phone: (814) 898-0007
Fax: (814) 899-8128

The provider's authorized official is Ron Hawryliw .
The authorized official title is President and has the following contact phone number (814) 898-0007.

The enumeration date for this NPI number is 1/14/2006 and was last updated on 2/27/2013.

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
1	3416L0300X	Ambulance	Land Transport	01173	PENNSYLVANIA	Yes

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
1	282494	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
2	282494	OTHER	PENNSYLVANIA	BLUE CROSS/BLUE SHIELD
3	441590165	OTHER	PENNSYLVANIA	RR MEDICARE/PALMETTO GBA
4	=========	OTHER	PENNSYLVANIA	TRICARE
5	0011361100003	MEDICAID	PENNSYLVANIA

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: 11/14/2023

NPI Synchronization or Removal

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