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JESSUP HOSE CO 2
NPI 1477612364
Ambulance - Land Transport in Jessup, PA

Active since December 06, 2006CLIA 39D2289398 · Waiver

NPPES record last updated: June 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessup Hose Co 2 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSUP HOSE CO 2 (NPI 1477612364) is a healthcare organization registered as a land transport in Jessup, Pennsylvania and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 10, 2027 and lists Mike Faramelli, Chief, as its authorized official.

NPPES Registry Identity

NPI1477612364
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameJESSUP HOSE CO 2
Location Address333 HILL STJessup, PA 18434-1036
Mailing AddressPo Box 1846Shavertown, PA 18708-0846 · (570) 714-3694
Phone(570) 498-1141
Organization SubpartNo
Authorized OfficialMike FaramelliChief · (570) 489-1141
Enumeration DateDecember 6, 2006
Last NPPES UpdateJune 4, 2009
✔ NPI 1477612364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in PA · 05117
333 HILL ST, Jessup, PA 18434
Open in Google Maps ↗

Other Identifiers 3

Medicaid0011760450001PA
Other800356Federal Black Lung
Medicare ID-Type Unspecified286993PA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2289398

Jessup Hose Co No 2 Ambulance Association · Jessup, PA
Active · expires Sep 10, 2027
CLIA Number39D2289398
Laboratory TypeAmbulance
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorKirk S. Hinkley
Laboratory Phone(570) 489-1141
Laboratory LocationJessup Hose Co No 2 Ambulance Association333 Hill Street, Jessup, PA 18434
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
799 services56 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
45 services38 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
23 services20 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessup Hose Co 2's NPI number?

The NPI number for Jessup Hose Co 2 is 1477612364. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Jessup Hose Co 2 located?

Jessup Hose Co 2 is located at 333 Hill St, Jessup, PA 18434. The listed phone number is (570) 498-1141.

What is Jessup Hose Co 2's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Jessup Hose Co 2 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2289398) is associated with this NPI, valid through September 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jessup Hose Co 2 was last updated on June 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.