Cranesville Vol. Fire Dept.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CRANESVILLE VOL. FIRE DEPT.

Practice address

9920 Meadville Road
Cranesville, PA 16410-0302

Phone

(814) 756-3441

NPI assigned

Jul 18, 2006

Organization subpart

No

Name

Mr. Brandon Kennedy

Title

President

Phone

(814) 756-3441

Organizations listed as members of this organization in the National Provider Directory.

• West County Paramedic Association

  • Land Ambulance
  • Girard, PA
  • NPI 1679538508

  Member Of

  NPD member

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2024.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1760401129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "CRANESVILLE",
            "state": "PA",
            "postal_code": "164100303",
            "telephone_number": "814-756-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 MEADVILLE ROAD",
            "city": "CRANESVILLE",
            "state": "PA",
            "postal_code": "164100302",
            "telephone_number": "814-756-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANESVILLE VOL. FIRE DEPT.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-756-3441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "2500604",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "282027",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda D Clark
• Brenda Kathleen Struchen, LPN

• All providers in Cranesville, PA
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.