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Organization Active NPI

Bobtown Dunkard TWP Vol Fire Dept Ambulance

  • Land Ambulance
  • Bobtown, PA
National Provider Identifier
1689640591
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04007 Issued in PA
Legal business name
BOBTOWN DUNKARD TWP VOL FIRE DEPT AMBULANCE
Practice address
1 Larimer Avenue
Bobtown, PA 15315
Phone
(724) 325-4003
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Rebecca Lynne Young
Title
Billing Specialist
Phone
(724) 325-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 04007 PA Primary

Addresses

Primary practice location

1 Larimer Avenue
Bobtown, PA 15315

Mailing address

4158 Old William Penn Hwy
Murrysville, PA 15668-1933
Phone (724) 325-4003

Other identifiers 1

IdentifierTypeStateIssuer
0010762820004MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1689640591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4158 OLD WILLIAM PENN HWY",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681933",
            "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": "1 LARIMER AVENUE",
            "city": "BOBTOWN",
            "state": "PA",
            "postal_code": "15315",
            "telephone_number": "724-325-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBTOWN DUNKARD TWP VOL FIRE DEPT AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "724-325-4003"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010762820004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bobtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.