Organization Active NPI

Westfall Township Volunteer Fire Department

  • Land Ambulance
  • Matamoras, PA
National Provider Identifier
1053470997
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03386 Issued in PA
Legal business name
WESTFALL TOWNSHIP VOLUNTEER FIRE DEPARTMENT
Practice address
101 Mountain Avenue
Matamoras, PA 18336
Phone
(570) 491-4717
Fax
(570) 491-2788
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Angela Smith
Title
Operations
Phone
(570) 491-4717

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 03386 PA Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

101 Mountain Avenue
Matamoras, PA 18336

Mailing address

PO Box 23463
Rochester, NY 14692-3463
Phone (585) 563-1112

Other identifiers 3

IdentifierTypeStateIssuer
0017009610001MedicaidPA
1053470997MedicaidNY
0013968170002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080731000774 PA Part B Supplier - Ambulance Service Supplier 6608940101 Practice locations: Matamoras, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2335591Westfall Township Volunteer Fire Dept101 Mountain Ave, Matamoras, PA 18336Certificate of waiverDec 13, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1053470997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23463",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146923463",
            "telephone_number": "585-563-1112",
            "fax_number": "585-434-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MOUNTAIN AVENUE",
            "city": "MATAMORAS",
            "state": "PA",
            "postal_code": "18336",
            "telephone_number": "570-491-4717",
            "fax_number": "570-491-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTFALL TOWNSHIP VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "570-491-4717"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03386",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017009610001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053470997",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013968170002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matamoras, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.