Active NPI
Cornplanter Township Volunteer Fire Department
- Land Ambulance
- Oil City, PA
National Provider Identifier
1154634467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 10018
- 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, 2022
- 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
- Jamie Carson
- Title
- President
- Phone
- (814) 677-5118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100903000623 | PA | Part B Supplier - Ambulance Service Supplier | 4082738505 | Practice locations: Oil City, 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 |
|---|---|---|---|
| 39D2137406 | Cornplanter Fire Department | Certificate of waiver | Sep 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.