Active NPI
Versailles VFC #1
- Land Ambulance
- McKeesport, PA
National Provider Identifier
1023234259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 04161
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0077828930002 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.