Organization Active NPI

Petrolia Volunteer Fire Department

  • Land Ambulance
  • Petrolia, PA
National Provider Identifier
1992895791
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
05149 Issued in PA
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

Updated by the provider on May 23, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0009138680004MedicaidPA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.