Active NPI
Austin Volunteer Fire Company Inc
- Land Ambulance
- Austin, PA
National Provider Identifier
1225002470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 06061
- Legal business name
- AUSTIN VOLUNTEER FIRE COMPANY INC
- Practice address
- 42 Main St
Austin, PA 16720-0328 - Phone
- (814) 331-3306
- Fax
- (814) 647-4402
- NPI assigned
- Feb 15, 2006
- Last updated
- May 24, 2023
- 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
- Kathy Brooks
- Title
- Treasurer
- Phone
- (814) 331-3306
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 06061 | PA | Primary |
Addresses
Primary practice location
42 Main St
Austin, PA 16720-0328
Mailing address
409 Porter Ave
Scottdale, PA 15683-1141
Phone (724) 887-8682
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288958 | Other | PA | BLUE CROSS/BLUE SHIELD |
| 0011458800005 | Medicaid | PA | |
| 590006184 | Other | PA | RR MEDICARE/PALMETTO GBA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031112000003 | PA | Part B Supplier - Ambulance Service Supplier | 3173436425 | Practice locations: Austin, PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684886400000",
"number": "1225002470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 PORTER AVE",
"city": "SCOTTDALE",
"state": "PA",
"postal_code": "156831141",
"telephone_number": "724-887-8682",
"fax_number": "724-887-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 MAIN ST",
"city": "AUSTIN",
"state": "PA",
"postal_code": "167200328",
"telephone_number": "814-331-3306",
"fax_number": "814-647-4402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUSTIN VOLUNTEER FIRE COMPANY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-15",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "814-331-3306"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "06061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "288958",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011458800005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE/PALMETTO GBA",
"identifier": "590006184",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.