Jackson TWP Vol Fire Company

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

06060 Issued in PA

Legal business name

JACKSON TWP VOL FIRE COMPANY

Practice address

176 Adams Ave
Mineral Point, PA 15942-5831

Phone

(814) 322-3155

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Mark Sloan

Title

Financial Officer

Phone

(814) 241-1221

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1174544340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 ADAMS AVE",
            "city": "MINERAL POINT",
            "state": "PA",
            "postal_code": "159425831",
            "telephone_number": "143-223-1558",
            "fax_number": "814-322-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 ADAMS AVE",
            "city": "MINERAL POINT",
            "state": "PA",
            "postal_code": "159425831",
            "telephone_number": "814-322-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON TWP VOL FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "814-241-1221"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "06060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016394500002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590010988",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "246885",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Cronauer
• Samantha Jo Inzana, LCSW
• Brandon Laney, RN
• Brittany Nicole Ribblett, OTR/L

• Land Ambulance in Mineral Point, PA
• Providers in Mineral Point, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.