CLARKS SUMMIT FIRE COMPANY NO 1 INC NPI 1720124795

NPI Information

NPI: 1720124795
Provider Name: CLARKS SUMMIT FIRE COMPANY NO 1 INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 39D2139109

Address:
321 BEDFORD ST
CLARKS SUMMIT, PA
ZIP 18411
Phone: (570) 586-9656
Get Directions

CLARKS SUMMIT FIRE COMPANY NO 1 INC is a land transport ambulance in Clarks Summit, PA. CLARKS SUMMIT FIRE COMPANY NO 1 INC NPI is 1720124795. The provider is registered as an organization entity type.

The provider's business location address is:

321 BEDFORD ST
CLARKS SUMMIT, PA
ZIP 18411-800
Phone: (570) 586-9656
Fax: (570) 587-6003

The provider's authorized official is David H Jenkins .
The authorized official title is President and has the following contact phone number (570) 586-9656.

The CLIA number assigned to this NPI record is 39D2139109 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 6/24/2015.

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			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	590009213	OTHER	PENNSYLVANIA	UNITED HEALTH CARE
2	281646	MEDICARE PIN	PENNSYLVANIA
3	079474	OTHER	PENNSYLVANIA	FIRST PRIORITY HEALTH
4	0012007210001	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: 5/5/2024

NPI Synchronization or Removal

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