Active NPI
Pleasant Gap Fire Co No 1
- Land Ambulance
- Pleasant Gap, PA
National Provider Identifier
1467447375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 03059
- Legal business name
- PLEASANT GAP FIRE CO NO 1
- Practice address
- 475 Robinson LN
Pleasant Gap, PA 16823-7437 - Phone
- (814) 359-2102
- Fax
- (814) 339-4110
- NPI assigned
- Sep 16, 2005
- Last updated
- Nov 22, 2019
- 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
- Rick Meyers
- Title
- President
- Phone
- (814) 359-2102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 03059 | PA | Primary |
Addresses
Primary practice location
475 Robinson LN
Pleasant Gap, PA 16823-7437
Mailing address
PO Box 726
New Cumberland, PA 17070-0726
Phone (717) 214-6018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001038880 | 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 |
|---|---|---|---|---|
| O20120427000368 | PA | Part B Supplier - Ambulance Service Supplier | 1658533203 | Practice locations: Pleasant Gap, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2147482 | Pleasant Gap Fire Co | Certificate of waiver | Apr 19, 2028 |
National Provider Directory
National Provider DirectoryLocations
475 Robinson Ln
Pleasant Gap, PA 16823
Phone (800) 259-5297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574380800000",
"number": "1467447375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 726",
"city": "NEW CUMBERLAND",
"state": "PA",
"postal_code": "170700726",
"telephone_number": "717-214-6018",
"fax_number": "717-214-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 ROBINSON LN",
"city": "PLEASANT GAP",
"state": "PA",
"postal_code": "168237437",
"telephone_number": "814-359-2102",
"fax_number": "814-339-4110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASANT GAP FIRE CO NO 1",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-16",
"last_updated": "2019-11-22",
"status": "A",
"authorized_official_last_name": "MEYERS",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-359-2102"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "03059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001038880",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Gap, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.