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FIRE DEPARTMENT OF NORTH VERSAILLES NPI 1215917828


NPI Information

NPI: 1215917828
Provider Name: FIRE DEPARTMENT OF NORTH VERSAILLES

Doing Business As: FIRE DEPARTMENT OF NORTH VERSAILLES EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 39D2045703

Address:
1021 BROAD ST
NORTH VERSAILLES, PA
ZIP 15137
Phone: (412) 829-7378
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FIRE DEPARTMENT OF NORTH VERSAILLES is a land transport ambulance in North Versailles, PA. FIRE DEPARTMENT OF NORTH VERSAILLES NPI is 1215917828. The provider is registered as an organization entity type.
The provider Is Doing Business As Fire Department Of North Versailles Ems.

The provider's business location address is:

1021 BROAD ST
NORTH VERSAILLES, PA
ZIP 15137-101
Phone: (412) 829-7378
Fax: (412) 200-5615

The provider's authorized official is Ryan Marton .
The authorized official title is Ems Director and has the following contact phone number (412) 829-7378.

The CLIA number assigned to this NPI record is 39D2045703 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2006 and was last updated on 2/2/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand Transport03077PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1239725OTHERPENNSYLVANIABLUE CROSS/BLUE SHIELD
2050243MEDICARE UPINPENNSYLVANIA
3590014680OTHERPENNSYLVANIARRMEDICARE/PALMETTO GBA
40010400920003MEDICAIDPENNSYLVANIA
5218247OTHERPENNSYLVANIAUMPC HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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