{"npi":"1649240219","type":"NPI-2","status":"active","name":{"display":"Fayetteville Volunteer Fire Department","other":[],"organization_name":"FAYETTEVILLE VOLUNTEER FIRE DEPARTMENT","authorised_official":"Leslie Shreve"},"specialty":{"primary_taxonomy":"341600000X","primary_taxonomy_description":"Ambulance","slug":"ambulance","schema_org_specialty":null,"all":[{"code":"341600000X","description":"Ambulance","primary":true,"state":"PA","license":"05003"}]},"addresses":[{"purpose":"LOCATION","street_1":"101 W MAIN ST","city":"FAYETTEVILLE","state":"PA","postal_code":"172221428","country_code":"US","phone":"7173527723","fax":"7173528302"},{"purpose":"MAILING","street_1":"101 W MAIN ST","city":"FAYETTEVILLE","state":"PA","postal_code":"172221428","country_code":"US","phone":"7173527723","fax":"7173528302"}],"license":{"state":"PA","number":"05003"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0010609160002","state":"PA","issuer":null},{"type_code":"05","label":"Medicaid","value":"0010609160005","state":"PA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20060301000735","type_code":"12-59","type_desc":"PART B SUPPLIER - AMBULANCE SERVICE SUPPLIER","state":"PA","pac_id":"3274549159"}]},"enumeration_date":"2006-01-25","last_updated":"2014-05-05","_meta":{"source":"NPPES","snapshot_date":"2014-05-05","doc_url":"https://findmynpi.com/api"}}