Active NPI
Brady Township Volunteer Fire Rescue & Ambulance Co Inc
- Land Ambulance
- Luthersburg, PA
National Provider Identifier
1376694075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- BRADY TOWNSHIP VOLUNTEER FIRE RESCUE & AMBULANCE CO INC
- Practice address
- 11 Community Center St
Luthersburg, PA 15848 - Phone
- (814) 583-7610
- Fax
- (814) 583-5366
- NPI assigned
- Jan 16, 2007
- 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
- Scott C Folmar
- Title
- Board President
- Phone
- (814) 583-7610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
11 Community Center St
Luthersburg, PA 15848
Mailing address
PO Box 157
Luthersburg, PA 15848-0157
Phone (814) 583-7610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023705130001 | 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 |
|---|---|---|---|---|
| O20091014000618 | PA | Part B Supplier - Ambulance Service Supplier | 1658417159 | Practice locations: Luthersburg, PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472428800000",
"number": "1376694075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 157",
"city": "LUTHERSBURG",
"state": "PA",
"postal_code": "158480157",
"telephone_number": "814-583-7610",
"fax_number": "814-583-5336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 COMMUNITY CENTER ST",
"city": "LUTHERSBURG",
"state": "PA",
"postal_code": "15848",
"telephone_number": "814-583-7610",
"fax_number": "814-583-5366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRADY TOWNSHIP VOLUNTEER FIRE RESCUE & AMBULANCE CO INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2016-08-29",
"status": "A",
"authorized_official_last_name": "FOLMAR",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "BOARD PRESIDENT",
"authorized_official_telephone_number": "814-583-7610"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023705130001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Luthersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.