Vandergrift Fire Department No 2
Organization Active NPI Land Ambulance · Vandergrift, PA
NPI 1437470705 · NPPES record last updated Oct 23, 2018
Key facts
- NPI
- 1437470705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- VANDERGRIFT FIRE DEPARTMENT NO 2
- Practice address
- 700 Holland Street
Vandergrift, PA 15690-1444 - Phone
- (724) 568-3864
- Fax
- (724) 794-1633
- NPI assigned
- Jun 21, 2010
- Organization subpart
- No
Authorized official
- Name
- James M Caporali
- Title
- Business Manager
- Phone
- (724) 568-3864
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101015000547 | PA | Part B Supplier - Ambulance Service Supplier | 4486847050 | Practice locations: Vandergrift, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 06079 | PA | |
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
700 Holland Street
Vandergrift, PA 15690-1444
Mailing address
700 Holland Street
Vandergrift, PA 15690-1444
Phone (724) 568-3864
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025423220003 | Medicaid | PA |
Other providers in Vandergrift, PA
- Jody Ernest Sarno
- Lori Michele Shotts
- Shri Hari Pharmacy LLC
- Timothy J Sluser
- Paul A Tallarom
- Vandergrift Pharmacy LLC
- Myron Webb Jr.
- Larry Earl Wise
- Charles W Yakulis
All providers in Vandergrift, PA · Land Ambulance in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.