JESSUP HOSE CO 2 (NPI# 1477612364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477612364 |
Entity Type | Organization |
Organization Name | JESSUP HOSE CO 2 |
Practice Address |
333 Hill St Jessup PA 18434-1036 |
Mailing Address |
Po Box 1846 Shavertown PA 18708-0846 |
Practice Telephone | 5704981141 |
Mailing Telephone | 5707143694 |
Enumeration Date | 2006-12-06 |
Last Update Date | 2009-06-04 |
Authorized Official Name | MIKE FARAMELLI (CHIEF) |
Authorized Official Telephone | 5704891141 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
05117 | PA | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0011760450001 | 05 | |
FEDERAL BLACK LUNG | 800356 | 01 |
Street Address |
333 HILL ST |
City | JESSUP |
State | PA |
Zip Code | 18434-1036 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205004207 | Paul A. Tomcykoski Do PC | Pediatrics | 1355 Robert Mellow Dr, Jessup, PA 18434 | 2008-02-13 |
1679774863 | Jill Krabak | Acupuncturist | 410 1/2 Rear Front St, Jessup, PA 18434 | 2007-05-29 |
1548816903 | Alyssa Wesley | Speech-Language Pathologist | 319 Front St, Jessup, PA 18434 | 2019-08-12 |
1104899103 | James C Loomis | Podiatrist | 322 Church St, Jessup, PA 18434-1024 | 2006-02-09 |
1891979654 | James C Loomis Dpm | Podiatrist | 322 Church St, Jessup, PA 18434-1024 | 2007-12-28 |
1952366866 | Francis Richard Collura | Chiropractor | 220 Church St, Jessup, PA 18434-1049 | 2006-04-20 |
1598196966 | Collura Wellness Center P.C. | Chiropractor | 220 Church St, Jessup, PA 18434-1049 | 2013-12-10 |
1487743035 | Family Pharmacy of Jessup Inc | Pharmacy | 128 Constitution Ave, Jessup, PA 18434-1218 | 2006-10-12 |
1760818348 | Kimberly Solomon | Pharmacist | 128 Constitution Ave, Jessup, PA 18434-1218 | 2013-09-16 |
1952571556 | Christine Brunetti | Counselor | 978 Constitution Ave, Jessup, PA 18434-1309 | 2008-03-10 |
Find all providers in zip 18434 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.