Mill Village Volunteer Fire Co

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MILL VILLAGE VOLUNTEER FIRE CO

Practice address

14408 N Main Street
Mill Village, PA 16427-0008

Phone

(814) 796-3661

Fax

(814) 796-3661

NPI assigned

Oct 14, 2005

Last updated

Oct 25, 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

David F Stearns

Title

President

Phone

(814) 796-3661

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Joseph Letzo, CRNP

  • Family Nurse Practitioner
  • Clymer, NY
  • NPI 1114757903
  NPD

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1376532192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6L",
            "city": "MILL VILLAGE",
            "state": "PA",
            "postal_code": "164270127",
            "telephone_number": "814-796-3661",
            "fax_number": "814-796-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14408 N MAIN STREET",
            "city": "MILL VILLAGE",
            "state": "PA",
            "postal_code": "164270008",
            "telephone_number": "814-796-3661",
            "fax_number": "814-796-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL VILLAGE VOLUNTEER FIRE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "STEARNS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-796-3661"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014800900002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.