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RIVERSIDE VOL. FIRE DEPT.
NPI 1689751174
Ambulance - Land Transport in Johnstown, PA

Active since November 01, 2006
615 LIBERTY AVE, JOHNSTOWN, PA 15905(814) 288-1100(814) 487-7137 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Riverside Vol. Fire Dept. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE VOL. FIRE DEPT. (NPI 1689751174) is a healthcare organization registered as a land transport in Johnstown, Pennsylvania and active in the NPI registry since November 2006. The organization lists Jay Daniels, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1689751174
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameRIVERSIDE VOL. FIRE DEPT.
Location Address615 LIBERTY AVEJohnstown, PA 15905-3609
Mailing Address615 Liberty AveJohnstown, PA 15905-3609 · (814) 288-1100 · Fax (814) 487-7137
Phone(814) 288-1100
Fax(814) 487-7137
Organization SubpartNo
Authorized OfficialJay DanielsFire Chief · (814) 288-1076
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689751174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in PA · 1103433
615 LIBERTY AVE, Johnstown, PA 15905
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Other Identifiers 1

Medicaid0012277520004PA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riverside Vol. Fire Dept. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20110610000028Non-DME Part B · Ambulance Service SupplierDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Vol. Fire Dept.'s NPI number?

The NPI number for Riverside Vol. Fire Dept. is 1689751174. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Riverside Vol. Fire Dept. located?

Riverside Vol. Fire Dept. is located at 615 Liberty Ave, Johnstown, PA 15905. The listed phone number is (814) 288-1100.

What is Riverside Vol. Fire Dept.'s specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Is Riverside Vol. Fire Dept. enrolled in Medicare?

Yes. Riverside Vol. Fire Dept. is registered in the Medicare PECOS enrollment system.

When is Riverside Vol. Fire Dept.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Ambulance Service Supplier) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Riverside Vol. Fire Dept. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.