Active NPI
Seventh Ward Civic Association
- Ambulance
- Johnstown, PA
National Provider Identifier
1174500326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 05206
- Legal business name
- SEVENTH WARD CIVIC ASSOCIATION
- Practice address
- 404 Cedar St
Johnstown, PA 15902-2022 - Phone
- (814) 535-8881
- Fax
- (814) 535-8750
- NPI assigned
- Dec 29, 2005
- 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
- Ronald Costlow
- Title
- President
- Phone
- (814) 535-8881
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 05206 | PA | Primary |
| Land Ambulance | 3416L0300X | 05206 | PA | |
| Non-emergency Medical Transport (VAN) | 343900000X | A00114036 | PA | |
| Non-emergency Medical Transport (VAN) | 343900000X | 05206 | PA |
Addresses
Primary practice location
404 Cedar St
Johnstown, PA 15902-2022
Mailing address
404 Cedar St
Johnstown, PA 15902-2022
Phone (814) 535-8881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008959010001 | 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 |
|---|---|---|---|---|
| O20070725000277 | PA | Part B Supplier - Ambulance Service Supplier | 5799886487 | Practice locations: Johnstown, PA |
National Provider Directory
National Provider DirectoryLocations
404 Cedar St
Johnstown, PA 15902
Phone (814) 535-8881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197849600000",
"number": "1174500326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 CEDAR ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159022022",
"telephone_number": "814-535-8881",
"fax_number": "814-535-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 CEDAR ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159022022",
"telephone_number": "814-535-8881",
"fax_number": "814-535-8750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEVENTH WARD CIVIC ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-29",
"last_updated": "2007-12-17",
"status": "A",
"authorized_official_last_name": "COSTLOW",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-535-8881"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PA",
"license": "05206",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "05206",
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "PA",
"license": "A00114036",
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "PA",
"license": "05206",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008959010001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.