Organization Active NPI

Greensboro & Monongahela TWP VFD

  • Land Ambulance
  • Greensboro, PA
National Provider Identifier
1508901562
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04158 Issued in PA
Legal business name
GREENSBORO & MONONGAHELA TWP VFD
Practice address
416 Front Street
Greensboro, PA 15338
Phone
(724) 943-3800
Fax
(724) 943-3334
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Michael A Clark
Title
Ambulance Commander
Phone
(724) 943-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 04158 PA Primary

Addresses

Primary practice location

416 Front Street
Greensboro, PA 15338

Mailing address

4158 Old William Penn Highway
Dependable Ambulance Billing LLC
Murrysville, PA 15668
Phone (724) 325-4003

Other identifiers 1

IdentifierTypeStateIssuer
000816292003MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1508901562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4158 OLD WILLIAM PENN HIGHWAY",
            "address_2": "DEPENDABLE AMBULANCE BILLING LLC",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "15668",
            "telephone_number": "724-325-4003",
            "fax_number": "724-325-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 FRONT STREET",
            "city": "GREENSBORO",
            "state": "PA",
            "postal_code": "15338",
            "telephone_number": "724-943-3800",
            "fax_number": "724-943-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSBORO & MONONGAHELA TWP VFD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AMBULANCE COMMANDER",
        "authorized_official_telephone_number": "724-943-3800"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000816292003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.