Active NPI
Menoher Heights Vol Fire Dept
- Land Ambulance
- Johnstown, PA
National Provider Identifier
1316968589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 05113
- Legal business name
- MENOHER HEIGHTS VOL FIRE DEPT
- Practice address
- 3255 Menoher Blvd
Johnstown, PA 15905-5608 - Phone
- (814) 255-5212
- NPI assigned
- Jul 22, 2006
- Last updated
- Aug 22, 2020
- 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
- Sean McTighe
- Title
- Manager
- Phone
- (814) 255-5212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 05113 | PA | Primary |
Addresses
Primary practice location
3255 Menoher Blvd
Johnstown, PA 15905-5608
Mailing address
3255 Menoher Blvd
Johnstown, PA 15905-5608
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010722470005 | Medicaid | PA | |
| 207924 | Other | PA | HIGHMARK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316968589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3255 MENOHER BLVD",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159055608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3255 MENOHER BLVD",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159055608",
"telephone_number": "814-255-5212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENOHER HEIGHTS VOL FIRE DEPT",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCTIGHE",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "814-255-5212"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "05113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010722470005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "207924",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.