Active NPI
Slippery Rock VFC and Rescue Team
- Land Ambulance
- Slippery Rock, PA
National Provider Identifier
1811080872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 06018
- Legal business name
- SLIPPERY ROCK VFC AND RESCUE TEAM
- Practice address
- 162 Elm St
Slippery Rock, PA 16057-1520 - Phone
- (724) 794-3817
- Fax
- (724) 794-3482
- NPI assigned
- Oct 2, 2006
- 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
- Doreen Taggart
- Title
- Secretary
- Phone
- (724) 794-3817
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 06018 | PA | Primary |
Addresses
Primary practice location
162 Elm St
Slippery Rock, PA 16057-1520
Mailing address
162 Elm St
Slippery Rock, PA 16057-1501
Phone (724) 794-3817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030793660001 | 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 |
|---|---|---|---|---|
| O20070411000507 | PA | Part B Supplier - Ambulance Service Supplier | 3072618594 | Practice locations: Slippery Rock, PA |
National Provider Directory
National Provider DirectoryLocations
162 Elm St
Slippery Rock, PA 16057
Phone (724) 794-3817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1811080872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 ELM ST",
"city": "SLIPPERY ROCK",
"state": "PA",
"postal_code": "160571501",
"telephone_number": "724-794-3817",
"fax_number": "724-794-3482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 ELM ST",
"city": "SLIPPERY ROCK",
"state": "PA",
"postal_code": "160571520",
"telephone_number": "724-794-3817",
"fax_number": "724-794-3482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLIPPERY ROCK VFC AND RESCUE TEAM",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "TAGGART",
"authorized_official_first_name": "DOREEN",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "724-794-3817"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "06018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030793660001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slippery Rock, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.