Scandia Volunteer Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

11041 Issued in PA

Legal business name

SCANDIA VOLUNTEER FIRE DEPARTMENT

Practice address

5950 Scandia Rd
Russell, PA 16345-6916

Phone

(814) 757-8091

Fax

(814) 757-8091

NPI assigned

Oct 29, 2005

Reactivated

Oct 25, 2011

Last updated

Jul 21, 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

Mrs. Suzanne C. Swanson

Title

Treasurer

Phone

(814) 757-5071

Specialties & licenses 2

Addresses

Other identifiers 1

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.

{
    "created_epoch": "1130544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811988918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164",
            "city": "RUSSELL",
            "state": "PA",
            "postal_code": "163450164",
            "telephone_number": "814-757-8091",
            "fax_number": "814-757-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 SCANDIA RD",
            "city": "RUSSELL",
            "state": "PA",
            "postal_code": "163456916",
            "telephone_number": "814-757-8091",
            "fax_number": "814-757-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCANDIA VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-29",
        "last_updated": "2022-07-21",
        "deactivation_date": "2008-06-03",
        "reactivation_date": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "814-757-5071",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "11041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "1765554",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Russell, PA
• Providers in Russell, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.