Active NPI
Petrolia Volunteer Fire Department
- Land Ambulance
- Petrolia, PA
National Provider Identifier
1992895791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 05149
- Legal business name
- PETROLIA VOLUNTEER FIRE DEPARTMENT
- Practice address
- 110 Jamison St
Petrolia, PA 16050-0021 - Phone
- (724) 468-1212
- Fax
- (724) 468-1204
- NPI assigned
- Oct 13, 2006
- 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
- Virginia Collins
- Title
- Coo
- Phone
- (724) 468-1212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 05149 | PA | Primary |
Addresses
Primary practice location
110 Jamison St
Petrolia, PA 16050-0021
Mailing address
110 Jamison Street
Box 21
Petrolia, PA 16050-0021
Phone (724) 468-1212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009138680004 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369267200000",
"number": "1992895791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 JAMISON STREET",
"address_2": "BOX 21",
"city": "PETROLIA",
"state": "PA",
"postal_code": "160500021",
"telephone_number": "724-468-1212",
"fax_number": "724-468-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 JAMISON ST",
"city": "PETROLIA",
"state": "PA",
"postal_code": "160500021",
"telephone_number": "724-468-1212",
"fax_number": "724-468-1204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETROLIA VOLUNTEER FIRE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2013-05-23",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "724-468-1212"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "05149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009138680004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petrolia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.