Provider Demographics
NPI:1992796825
Name:AUBURN FIRE COMPANY AMBULANCE SERVICE
Entity type:Organization
Organization Name:AUBURN FIRE COMPANY AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:A
Authorized Official - Last Name:EPTING
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:570-754-7919
Mailing Address - Street 1:131 1/2 S FRONT ST
Mailing Address - Street 2:P.O. BOX 7
Mailing Address - City:AUBURN
Mailing Address - State:PA
Mailing Address - Zip Code:17922-8930
Mailing Address - Country:US
Mailing Address - Phone:570-754-7919
Mailing Address - Fax:570-754-7919
Practice Address - Street 1:131 1/2 S FRONT ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:PA
Practice Address - Zip Code:17922-8930
Practice Address - Country:US
Practice Address - Phone:570-754-7919
Practice Address - Fax:570-754-7919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-31
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03038341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012007680002Medicaid
PAAU207360Medicare ID - Type UnspecifiedAMBULANCE