Reno Volunteer Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

99128 Issued in PA

Legal business name

RENO VOLUNTEER FIRE DEPARTMENT

Practice address

10 4TH Street
Reno, PA 16343

Phone

(814) 676-2257

Fax

(814) 678-2937

NPI assigned

Jan 26, 2006

Last updated

Dec 6, 2022By 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

Beverly Marvin

Title

Captain

Phone

(814) 671-2286

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Reno Volunteer Fire Dept EMS Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1710957196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831141",
            "telephone_number": "724-887-6822",
            "fax_number": "724-887-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 4TH STREET",
            "city": "RENO",
            "state": "PA",
            "postal_code": "16343",
            "telephone_number": "814-676-2257",
            "fax_number": "814-678-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENO VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "MARVIN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "814-671-2286"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "99128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014855600002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reno Volunteer Fire Dept EMS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Reno Volunteer Fire Dept EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Land Ambulance in Reno, PA
• Providers in Reno, PA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.