Active NPI
Fayette Township E.M.S., Inc.
- Ambulance
- McAlisterville, PA
National Provider Identifier
1730151200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 04135
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016828360001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051027000310 | PA | Part B Supplier - Ambulance Service Supplier | 9537186721 | Practice locations: MC Alisterville, PA |
National Provider Directory
National Provider DirectoryLocations
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.