Jennerstown Volunteer Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04115 Issued in PA

Legal business name

JENNERSTOWN VOLUNTEER FIRE DEPARTMENT

Practice address

1536 Pitt St
Jennerstown, PA 15547-0229

Phone

(814) 629-5371

NPI assigned

Nov 14, 2006

Last updated

Oct 30, 2023By 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

Deron Koontz

Title

EMS Coordinator

Phone

(814) 442-2243

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1437221769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "JENNERSTOWN",
            "state": "PA",
            "postal_code": "155470229",
            "telephone_number": "814-629-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 PITT ST",
            "city": "JENNERSTOWN",
            "state": "PA",
            "postal_code": "155470229",
            "telephone_number": "814-629-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNERSTOWN VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "KOONTZ",
        "authorized_official_first_name": "DERON",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "814-442-2243"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "200245",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590009137",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014830730001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conemaugh Health Initiatives (Conemaugh Physician Group- Family Medicine- Jennerstown)
• DLP Conemaugh Physician Practices LLC (Conemaugh Physician Group - Jennerstown)
• Gloria Jean Foster, MT
• Tiffany Kelly Helman, MD
• Robert James Hudson
• Theresa Krouse, BSN, RN, FNP-S
• Jacqueline M. Martella, RPH
• Alexander G Paterson, MD
• Christina Sutton Pienkowski, PHARMD
• Vicki Jean Price, RPH

• Land Ambulance in Jennerstown, PA
• Providers in Jennerstown, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.