MEDICARE: YORK SPRINGS FIRE COMPANY NO. 1

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	05018	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00142010	OTHER	PA	PALMETTO GBA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	280371	OTHER	PA	HIGHMARK

General Provider Information

NPI Number	:	1972639995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YORK SPRINGS FIRE COMPANY NO. 1

Provider Business Mailing Address
First Line	:	PO BOX 539
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17055-0539
Country	:	US
Telephone Number	:	717-728-1690
Fax Number	:	717-728-1690

Provider Business Practice Location Address
First Line	:	312 MAIN STREET
Second Line	:
City	:	YORK SPRINGS
State	:	PA
Zip	:	17372
Country	:	US
Telephone Number	:	717-528-4728
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALFORD SHULL
Credential	:
Telephone Number	:	717-528-4728

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	03/03/2011

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