Organization Active NPI

Clarksville & Community Volunteer Fire Department

  • Ambulance
  • Clarksville, PA
National Provider Identifier
1689845901
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
300409 Issued in PA
Legal business name
CLARKSVILLE & COMMUNITY VOLUNTEER FIRE DEPARTMENT
Practice address
343 Center Street
Clarksville, PA 15322
Phone
(724) 377-0381
Fax
(724) 377-0381
NPI assigned
Mar 14, 2008
Last updated
Jan 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Mrs. Vicki Lee McCartney
Title
Ambulance Commander
Phone
(724) 377-0458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 300409 PA Primary

Addresses

Primary practice location

343 Center Street
Clarksville, PA 15322

Mailing address

PO Box 665
Clarksville, PA 15322
Phone (724) 377-0381

Other identifiers 1

IdentifierTypeStateIssuer
3000409OtherPADEPT OF HEALTH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1689845901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 665",
            "city": "CLARKSVILLE",
            "state": "PA",
            "postal_code": "15322",
            "telephone_number": "724-377-0381",
            "fax_number": "724-377-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 CENTER STREET",
            "city": "CLARKSVILLE",
            "state": "PA",
            "postal_code": "15322",
            "telephone_number": "724-377-0381",
            "fax_number": "724-377-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE & COMMUNITY VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "MCCARTNEY",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "AMBULANCE COMMANDER",
        "authorized_official_telephone_number": "724-377-0458",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "300409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH",
            "identifier": "3000409",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.