Organization Active NPI

Mt Pleasant TWP Vol Fire Dept No 1

  • Land Ambulance
  • Mt Pleasant, PA
National Provider Identifier
1871564393
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
01125 Issued in PA
Legal business name
MT PLEASANT TWP VOL FIRE DEPT NO 1
Practice address
5123 Water St
Mt Pleasant, PA 15666-2554
Phone
(724) 423-1829
Fax
(724) 423-5011
NPI assigned
Feb 1, 2006
Last updated
Sep 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Kevin Hendrick
Title
Assistant Chief
Phone
(724) 757-6823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 01125 PA Primary

Addresses

Primary practice location

5123 Water St
Mt Pleasant, PA 15666-2554

Mailing address

409 Porter Ave
Scottdale, PA 15683-1141
Phone (724) 887-6822

Other names 1

  • Kecksburg Volunteer Rescue Squad Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331001291 PA Part B Supplier - Ambulance Service Supplier 0244222123 Practice locations: Mount Pleasant, PA

National Provider Directory

National Provider Directory

Locations

5123 Water St
Mt Pleasant, PA 15666
Phone (724) 423-1829

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1871564393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831141",
            "telephone_number": "724-887-6822",
            "fax_number": "724-887-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 WATER ST",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156662554",
            "telephone_number": "724-423-1829",
            "fax_number": "724-423-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT PLEASANT TWP VOL FIRE DEPT NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "HENDRICK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "724-757-6823"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "01125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kecksburg Volunteer Rescue Squad",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mt Pleasant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.