Organization Active NPI

Fayette Township E.M.S., Inc.

  • Ambulance
  • McAlisterville, PA
National Provider Identifier
1730151200
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
04135 Issued in PA
Legal business name
FAYETTE TOWNSHIP E.M.S., INC.
Practice address
18 W. Main Street
McAlisterville, PA 17049-0032
Phone
(717) 463-9888
Fax
(717) 463-9148
NPI assigned
Feb 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Connie Lou Kerstetter
Title
Secretary
Phone
(814) 235-2042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 04135 PA Primary

Addresses

Primary practice location

18 W. Main Street
McAlisterville, PA 17049-0032

Mailing address

P.O. Box 98
3 Cedar Court
Enola, PA 17025-0098
Phone (717) 728-9223

Other identifiers 1

IdentifierTypeStateIssuer
0016828360001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051027000310 PA Part B Supplier - Ambulance Service Supplier 9537186721 Practice locations: MC Alisterville, PA

National Provider Directory

National Provider Directory

Locations

18 Main St
Mc Alisterville, PA 17049
Phone (717) 463-9888

461 Main St
Mc Alistervle, PA 17049
Phone (610) 435-2277

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730151200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 98",
            "address_2": "3 CEDAR COURT",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170250098",
            "telephone_number": "717-728-9223",
            "fax_number": "717-728-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W. MAIN STREET",
            "city": "MCALISTERVILLE",
            "state": "PA",
            "postal_code": "170490032",
            "telephone_number": "717-463-9888",
            "fax_number": "717-463-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE TOWNSHIP E.M.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERSTETTER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "814-235-2042"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016828360001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlisterville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.