RIVERSIDE VOL. FIRE DEPT. NPI 1689751174

NPI Information

NPI: 1689751174
Provider Name: RIVERSIDE VOL. FIRE DEPT.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
615 LIBERTY AVE
JOHNSTOWN, PA
ZIP 15905
Phone: (814) 288-1100
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RIVERSIDE VOL. FIRE DEPT. is a land transport ambulance in Johnstown, PA. RIVERSIDE VOL. FIRE DEPT. NPI is 1689751174. The provider is registered as an organization entity type.

The provider's business location address is:

615 LIBERTY AVE
JOHNSTOWN, PA
ZIP 15905-609
Phone: (814) 288-1100
Fax: (814) 487-7137

The provider's authorized official is Jay Daniels .
The authorized official title is Fire Chief and has the following contact phone number (814) 288-1076.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	1103433	PENNSYLVANIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0012277520004	MEDICAID	PENNSYLVANIA

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: 11/14/2023

NPI Synchronization or Removal

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