Organization Active NPI

Kirwan Heights Volunteer Fire Department

  • Land Ambulance
  • Bridgeville, PA
National Provider Identifier
1295713972
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
05142 Issued in PA
Legal business name
KIRWAN HEIGHTS VOLUNTEER FIRE DEPARTMENT
Practice address
1200 Washington Pike
Bridgeville, PA 15017-2820
Phone
(412) 292-8705
Fax
(412) 221-4818
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Mr. Troy Riddle, EMT
Title
Chief
Phone
(412) 403-6917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 05142 PA Primary

Addresses

Primary practice location

1200 Washington Pike
Bridgeville, PA 15017-2820

Mailing address

1200 Washington Pike
Bridgeville, PA 15017-2820
Phone (412) 221-8382

Other identifiers 1

IdentifierTypeStateIssuer
0012144040004MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070330000073 PA Part B Supplier - Ambulance Service Supplier 9931203072 Practice locations: Bridgeville, PA

National Provider Directory

National Provider Directory

Locations

1200 Washington Pike
Bridgeville, PA 15017
Phone (412) 221-8382

528 Dewey Ave
Bridgeville, PA 15017

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1295713972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WASHINGTON PIKE",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172820",
            "telephone_number": "412-221-8382",
            "fax_number": "412-221-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WASHINGTON PIKE",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172820",
            "telephone_number": "412-292-8705",
            "fax_number": "412-221-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRWAN HEIGHTS VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "412-403-6917",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012144040004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.