Oklahoma Vol Fire Dept #1

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

06051 Issued in PA

Legal business name

OKLAHOMA VOL FIRE DEPT #1

Practice address

311 16TH St
North Apollo, PA 15673-0787

Phone

(724) 727-3955

Fax

(724) 727-3953

NPI assigned

Nov 7, 2006

Last updated

Aug 22, 2020By 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

Keith Fetterman

Title

President

Phone

(724) 727-3952

Specialties & licenses 1

Addresses

Other identifiers 8

Tax ID family

Oklahoma Vol Fire Dept 12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oklahoma Volunteer Fire Dept

  • Land Ambulance
  • Vangergrift, PA
  • NPI 1932272416
  NPD tax ID

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427127307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "address_2": "130 WASHINGTON RD",
            "city": "APOLLO",
            "state": "PA",
            "postal_code": "156130142",
            "telephone_number": "724-727-3955",
            "fax_number": "724-727-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 16TH ST",
            "city": "NORTH APOLLO",
            "state": "PA",
            "postal_code": "156730787",
            "telephone_number": "724-727-3955",
            "fax_number": "724-727-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA VOL FIRE DEPT #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FETTERMAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-727-3952"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "06051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007007420001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "803266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "8122",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "05088311",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018626",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "V0V212",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "292043",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66979",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Burrell Pharmacy, Inc (Pisone's Pharmacy)
• Trisha Clark, RN
• Chris H Eddins Jr., DC
• Fidel Velez M D
• Darrick S Mason, DC
• Anthony Petrarca, DC
• Ralph Anthony Petrarca, D.C.
• The Rehab Centre, Inc.
• Fidel E Velez, M.D.

• Land Ambulance in North Apollo, PA
• Providers in North Apollo, PA by specialty
• Land Ambulance in Pennsylvania

• 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.

Verify at the official NPI Registry.