Organization Active NPI

Muncy Township Volunteer Fire

  • Land Ambulance
  • Pennsdale, PA
National Provider Identifier
1245602218
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MUNCY TOWNSHIP VOLUNTEER FIRE
Practice address
261 Village Rd
Pennsdale, PA 17756-6605
Phone
(570) 546-3700
Fax
(570) 546-4941
NPI assigned
Oct 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Scott C Oldweiler
Title
Fire Chief
Phone
(570) 546-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

261 Village Rd
Pennsdale, PA 17756-6605

Mailing address

261 Village Rd
Pennsdale, PA 17756-6605
Phone (570) 546-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160209000420 PA Part B Supplier - Ambulance Service Supplier 1355645524 Practice locations: Pennsdale, PA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1245602218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 VILLAGE RD",
            "city": "PENNSDALE",
            "state": "PA",
            "postal_code": "177566605",
            "telephone_number": "570-546-3700",
            "fax_number": "570-546-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 VILLAGE RD",
            "city": "PENNSDALE",
            "state": "PA",
            "postal_code": "177566605",
            "telephone_number": "570-546-3700",
            "fax_number": "570-546-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNCY TOWNSHIP VOLUNTEER FIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "OLDWEILER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "570-546-3700"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.