Organization Active NPI

Cornplanter Township Volunteer Fire Department

  • Land Ambulance
  • Oil City, PA
National Provider Identifier
1154634467
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
10018 Issued in PA
Legal business name
CORNPLANTER TOWNSHIP VOLUNTEER FIRE DEPARTMENT
Practice address
1050 Grandview Rd
Oil City, PA 16301-1227
Phone
(814) 677-5118
Fax
(814) 678-8861
NPI assigned
Jul 16, 2010
Last updated
Jan 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Jamie Carson
Title
President
Phone
(814) 677-5118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 10018 PA Primary

Addresses

Primary practice location

1050 Grandview Rd
Oil City, PA 16301-1227

Mailing address

PO Box 726
New Cumberland, PA 17070-0726
Phone (717) 724-4136

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100903000623 PA Part B Supplier - Ambulance Service Supplier 4082738505 Practice locations: Oil City, 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
39D2137406Cornplanter Fire Department1050 Grandview Rd, Oil City, PA 16301Certificate of waiverSep 25, 2027

National Provider Directory

National Provider Directory

Locations

1050 Grandview Rd
Oil City, PA 16301
Phone (814) 677-5118

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1154634467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170700726",
            "telephone_number": "717-724-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 GRANDVIEW RD",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163011227",
            "telephone_number": "814-677-5118",
            "fax_number": "814-678-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNPLANTER TOWNSHIP VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-677-5118"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "10018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oil City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.