Active NPI
Muncy Area Volunteer Fire Company Inc
- Land Ambulance
- Muncy, PA
National Provider Identifier
1508159724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2012
- 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
- James L Girven
- Title
- Trustee
- Phone
- (570) 546-5740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280952 | Other | PA | HIGHMARK BLUE SHIELD |
| 1026483300001 | Medicaid | PA | |
| 078400 | Other | FIRST PRIORITY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Muncy, PA
- NPI 1073503538
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.
-
- Occupational Therapy Assistant
- Seven Fields, PA
- NPI 1851635189
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.