Confluence Volunteer Fire Company

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05154 Issued in PA

Legal business name

CONFLUENCE VOLUNTEER FIRE COMPANY

Doing business as

Confluence Community Ambulance Service

Practice address

117 Baxter St
Confluence, PA 15424-1045

Phone

(814) 395-5242

Fax

(814) 395-5242

NPI assigned

Jan 12, 2007

Last updated

Mar 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Allan Todd Suder, EMT

Title

President

Phone

(814) 395-5242

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Confluence Community Ambulance Service Doing business as

Locations

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1316097967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BAXTER ST",
            "address_2": "PO BOX 73",
            "city": "CONFLUENCE",
            "state": "PA",
            "postal_code": "154241045",
            "telephone_number": "814-395-5242",
            "fax_number": "814-395-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 BAXTER ST",
            "city": "CONFLUENCE",
            "state": "PA",
            "postal_code": "154241045",
            "telephone_number": "814-395-5242",
            "fax_number": "814-395-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFLUENCE VOLUNTEER FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "SUDER",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-395-5242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007826770001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Confluence Community Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Confluence, PA
• Providers in Confluence, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.