Organization Active NPI

Versailles VFC #1

  • Land Ambulance
  • McKeesport, PA
National Provider Identifier
1023234259
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04161 Issued in PA
Legal business name
VERSAILLES VFC #1
Practice address
4919 Third Street
McKeesport, PA 15132-6222
Phone
(412) 751-3603
Fax
(412) 751-5909
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Nashaun Forney
Title
Cfo
Phone
(412) 751-3603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 04161 PA Primary

Addresses

Primary practice location

4919 Third Street
McKeesport, PA 15132-6222

Mailing address

4919 3Rd St
McKeesport, PA 15132-6222
Phone (412) 751-3603

Other identifiers 1

IdentifierTypeStateIssuer
0077828930002MedicaidPA

National Provider Directory

National Provider Directory

Locations

4919 3rd St
McKeesport, PA 15132
Phone (412) 751-3603

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1023234259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 3RD ST",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151326222",
            "telephone_number": "412-751-3603",
            "fax_number": "412-751-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 THIRD STREET",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151326222",
            "telephone_number": "412-751-3603",
            "fax_number": "412-751-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERSAILLES VFC #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "FORNEY",
        "authorized_official_first_name": "NASHAUN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "412-751-3603",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077828930002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.