Organization Active NPI

Muncy Area Volunteer Fire Company Inc

  • Land Ambulance
  • Muncy, PA
National Provider Identifier
1508159724
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MUNCY AREA VOLUNTEER FIRE COMPANY INC
Practice address
35 S Main St
Muncy, PA 17756-1306
Phone
(570) 546-3000
Fax
(570) 546-3307
NPI assigned
May 20, 2011
Last updated
Jun 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James L Girven
Title
Trustee
Phone
(570) 546-5740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

35 S Main St
Muncy, PA 17756-1306

Mailing address

35 S Main St
Muncy, PA 17756-1306
Phone (570) 546-3000

Other identifiers 3

IdentifierTypeStateIssuer
280952OtherPAHIGHMARK BLUE SHIELD
1026483300001MedicaidPA
078400OtherFIRST PRIORITY HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111004000139 PA Part B Supplier - Ambulance Service Supplier 5991977506 Practice locations: Muncy, PA

National Provider Directory

National Provider Directory
Tax ID family
Muncy Area Volunteer Fire Company Inc2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1508159724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S MAIN ST",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177561306",
            "telephone_number": "570-546-3000",
            "fax_number": "570-546-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S MAIN ST",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177561306",
            "telephone_number": "570-546-3000",
            "fax_number": "570-546-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNCY AREA VOLUNTEER FIRE COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "GIRVEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "570-546-5740"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "280952",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026483300001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "078400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncy, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.