Jefferson Volunteer Fire Co Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04215 Issued in PA

Legal business name

JEFFERSON VOLUNTEER FIRE CO AMBULANCE SERVICE

Practice address

1483 Jefferson Rd
Jefferson, PA 15344-4154

Phone

(724) 883-3901

Fax

(724) 883-3903

NPI assigned

Aug 23, 2005

Last updated

Jul 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd Snyder

Title

EMS Director

Phone

(724) 883-3901

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1114910452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "JEFFERSON",
            "state": "PA",
            "postal_code": "153440236",
            "telephone_number": "724-833-3901",
            "fax_number": "724-883-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 JEFFERSON RD",
            "city": "JEFFERSON",
            "state": "PA",
            "postal_code": "153444154",
            "telephone_number": "724-883-3901",
            "fax_number": "724-883-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON VOLUNTEER FIRE CO AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "724-883-3901"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010590020002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Donnie Novak LLC
• Jefferson-Morgan School District
• Donald I Novak, DC
• Pettit Chiropractic Health Center Inc. (Jefferson Chiropractic)
• L. Randy Pettit, D.C.
• Rachael Simmons, LSW

• Land Ambulance in Jefferson, PA
• Providers in Jefferson, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.