Citizens Volunteer Hose Co No 1 of Birdville PA

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05208 Issued in PA

Legal business name

CITIZENS VOLUNTEER HOSE CO NO 1 OF BIRDVILLE PA

Practice address

965 Burtner Rd
Natrona Heights, PA 15065-2300

Phone

(724) 224-1912

Fax

(724) 224-2791

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James W Erb Jr.

Title

EMS Supervisor

Phone

(724) 224-1912

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1356420046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 BURTNER RD",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652300",
            "telephone_number": "724-224-1912",
            "fax_number": "724-224-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 BURTNER RD",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652300",
            "telephone_number": "724-224-1912",
            "fax_number": "724-224-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS VOLUNTEER HOSE CO NO 1 OF BIRDVILLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "ERB",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EMS SUPERVISOR",
        "authorized_official_telephone_number": "724-224-1912",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTHCARE",
            "identifier": "75183",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005486",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010771090002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "V0V25B",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "0074629",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "281468",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tessa Hayes Chopra, MD
• Christopher H. Martone, DMD, PC
• Kathleen Dodek Chybrzynski
• Janel Lee Cibik, OTR
• Brian Cicuto, DO
• Kielie Ann Ciuchta
• Tracy Claypoole
• Jason Andrew Colberg
• Mark S Colella, MD
• Irina Collins, OTR L

• Land Ambulance in Natrona Heights, PA
• Providers in Natrona Heights, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.