Organization Active NPI

Irwin Fire Department EMS

  • Land Ambulance
  • Irwin, PA
National Provider Identifier
1972372563
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Feb 6, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20240313002809 PA Part B Supplier - Ambulance Service Supplier 4284070111 Practice locations: Irwin, PA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.