Portersville Muddy Creek Volunteer EMS Rescue, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04137 Issued in PA

Legal business name

PORTERSVILLE MUDDY CREEK VOLUNTEER EMS RESCUE, INC

Practice address

1122 West Portersville Road
Portersville, PA 16051-2314

Phone

(724) 368-8813

Fax

(724) 794-1633

NPI assigned

Oct 12, 2006

Last updated

Apr 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Craig Lee Book

Title

President

Phone

(724) 363-8813

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1669561734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18533",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152360533",
            "telephone_number": "800-521-0671",
            "fax_number": "724-234-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 WEST PORTERSVILLE ROAD",
            "city": "PORTERSVILLE",
            "state": "PA",
            "postal_code": "160512314",
            "telephone_number": "724-368-8813",
            "fax_number": "724-794-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERSVILLE MUDDY CREEK VOLUNTEER EMS RESCUE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "BOOK",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-363-8813",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012354040001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrative Care Practitioners, LLC
• Kyoko Kajiya
• Leah Oman, MOT, OTR/L
• Louis Joseph Pickel, FNP-BC
• Portersville Family Practice PLLC
• Michelle Nicole Ruperto
• Heather Ann Shaffer, RN BSN
• Cory R Wilhite, CRNP

• Land Ambulance in Portersville, PA
• Providers in Portersville, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.