Organization Active NPI

Muncy Area Volunteer Fire Company Inc

  • Ambulance
  • Muncy, PA
National Provider Identifier
1073503538
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
05057 Issued in PA
Legal business name
MUNCY AREA VOLUNTEER FIRE COMPANY INC
Practice address
35 S Main St
Muncy, PA 17756-1306
Phone
(570) 546-6489
Fax
(570) 546-9475
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Ms. Mary T Gentile
Title
Authorized Agent
Phone
(860) 257-9201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 05057 PA Primary

Addresses

Primary practice location

35 S Main St
Muncy, PA 17756-1306

Mailing address

PO Box 290184
Wethersfield, CT 06129-0184
Phone (860) 257-9201

Other identifiers 1

IdentifierTypeStateIssuer
001451285 0002MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Muncy Area Volunteer Fire Company Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2355 Route 442 Hwy
Muncy, PA 17756
Phone (570) 546-6489

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1073503538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "860-257-9201",
            "fax_number": "860-721-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S MAIN ST",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177561306",
            "telephone_number": "570-546-6489",
            "fax_number": "570-546-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNCY AREA VOLUNTEER FIRE COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "860-257-9201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "05057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001451285 0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncy, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.