Active NPI
City of Meadville
- Land Ambulance
- Meadville, PA
National Provider Identifier
1922794734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF MEADVILLE
- Practice address
- 850 Park Ave
Meadville, PA 16335-3370 - Phone
- (814) 724-6200
- NPI assigned
- Apr 14, 2023
- 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
- Evan Kardosh
- Title
- Fire Chief/EMS Coordinator
- Phone
- (814) 724-6201
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
850 Park Ave
Meadville, PA 16335-3370
Mailing address
850 Park Ave
Meadville, PA 16335-3370
Phone (814) 724-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1042114270001 | 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 |
|---|---|---|---|---|
| O20230530000299 | PA | Part B Supplier - Ambulance Service Supplier | 4587021043 | Practice locations: Meadville, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2139641 | City of Meadville Fire Dept | Certificate of waiver | Nov 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
850 Park Ave
Meadville, PA 16335
Phone (814) 724-6200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767052800000",
"number": "1922794734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 PARK AVE",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353370",
"telephone_number": "814-724-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 PARK AVE",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353370",
"telephone_number": "814-724-6200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MEADVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-14",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A",
"authorized_official_last_name": "KARDOSH",
"authorized_official_first_name": "EVAN",
"authorized_official_title_or_position": "FIRE CHIEF/EMS COORDINATOR",
"authorized_official_telephone_number": "814-724-6201"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1042114270001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
- Yejin Cho
- Megan Alyssa Chong, LPC
- Daniel Chung, MD
- Cirr Inc (Jacks Pharmacy)
- Joseph Salvatore Cirrincione, R.PH.
- Meredith Claburn, PA-C
- Donna F Clayton
- Clifton a. Barreta (Associated Foot Health Center)
- Clinical Practice of Lecom Institute for Successful Living (LECOM Institute for Successful Living at Meadville)
- Clinical Practice of Lecom Institute for Successful Living (Rural Health Clinic of Meadville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.