Organization Active NPI

Pleasant Gap Fire Co No 1

  • Land Ambulance
  • Pleasant Gap, PA
National Provider Identifier
1467447375
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03059 Issued in PA
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001038880MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120427000368 PA Part B Supplier - Ambulance Service Supplier 1658533203 Practice locations: Pleasant Gap, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2147482Pleasant Gap Fire Co475 Robinson Lane, Pleasant Gap, PA 16823Certificate of waiverApr 19, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.