Active NPI
Kirwan Heights Volunteer Fire Department
- Land Ambulance
- Bridgeville, PA
National Provider Identifier
1295713972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 05142
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012144040004 | 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 |
|---|---|---|---|---|
| O20070330000073 | PA | Part B Supplier - Ambulance Service Supplier | 9931203072 | Practice locations: Bridgeville, PA |
National Provider Directory
National Provider DirectoryLocations
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.