Active NPI
Irwin Fire Department EMS
- Land Ambulance
- Irwin, PA
National Provider Identifier
1972372563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- IRWIN FIRE DEPARTMENT EMS
- Practice address
- 518 Western Ave # EMS
Irwin, PA 15642-3417 - Phone
- (724) 864-3106
- Fax
- (724) 864-3107
- NPI assigned
- Dec 25, 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
- Mr. Pierre Michael Defelice, PARAMEDIC
- Title
- Chief
- Phone
- (724) 493-4196
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
518 Western Ave # EMS
Irwin, PA 15642-3417
Mailing address
518 Western Ave # EMS
Irwin, PA 15642-3417
Phone (724) 864-3106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240313002809 | PA | Part B Supplier - Ambulance Service Supplier | 4284070111 | Practice locations: Irwin, PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1972372563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 WESTERN AVE # EMS",
"city": "IRWIN",
"state": "PA",
"postal_code": "156423417",
"telephone_number": "724-864-3106",
"fax_number": "724-864-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 WESTERN AVE # EMS",
"city": "IRWIN",
"state": "PA",
"postal_code": "156423417",
"telephone_number": "724-864-3106",
"fax_number": "724-864-3107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRWIN FIRE DEPARTMENT EMS",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-25",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "DEFELICE",
"authorized_official_first_name": "PIERRE",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "724-493-4196",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PARAMEDIC"
},
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Irwin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.