Coudersport Volunteer Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

00231 Issued in PA

Legal business name

COUDERSPORT VOLUNTEER AMBULANCE ASSOCIATION

Practice address

122 E 2ND St
Coudersport, PA 16915-1750

Phone

(814) 320-3927

Fax

(814) 320-3825

NPI assigned

Jan 9, 2006

Organization subpart

No

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

Authorized official

Name

Wendee Brown

Title

Board President

Phone

(814) 320-3927

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1891773909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169150651",
            "telephone_number": "814-320-3927",
            "fax_number": "814-320-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E 2ND ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169151750",
            "telephone_number": "814-320-3927",
            "fax_number": "814-320-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUDERSPORT VOLUNTEER AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WENDEE",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "814-320-3927"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "00231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE/PALMETTO GBA",
            "identifier": "590004818",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "288959",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007005190005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasey Jo Cole
• Concern-Professional Services for Children, Youth & Families
• Amber M Cooper, MSW
• Victoria Copp
• Alisa Cornell
• Shannon Curfman, RN
• Joshua Jon D'Agostino, PA-C
• Darling Apothecary, LLC
• Rachel Marie Darrah, CRNP
• Melanie Sue Darush

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.