Active NPI
Westfall Township Volunteer Fire Department
- Land Ambulance
- Matamoras, PA
National Provider Identifier
1053470997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 03386
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017009610001 | Medicaid | PA | |
| 1053470997 | Medicaid | NY | |
| 0013968170002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080731000774 | PA | Part B Supplier - Ambulance Service Supplier | 6608940101 | Practice locations: Matamoras, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2335591 | Westfall Township Volunteer Fire Dept | Certificate of waiver | Dec 13, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.