Good Will Fire Company No 1 of Minersville

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GOOD WILL FIRE COMPANY NO 1 OF MINERSVILLE

Practice address

25 North St
Minersville, PA 17954-1400

Phone

(570) 544-9635

Fax

(570) 544-9634

NPI assigned

Jul 9, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Allen Reber

Title

President

Phone

(570) 544-6099

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1073511499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NORTH ST",
            "city": "MINERSVILLE",
            "state": "PA",
            "postal_code": "179541400",
            "telephone_number": "570-544-9635",
            "fax_number": "570-544-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NORTH ST",
            "city": "MINERSVILLE",
            "state": "PA",
            "postal_code": "179541400",
            "telephone_number": "570-544-9635",
            "fax_number": "570-544-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD WILL FIRE COMPANY NO 1 OF MINERSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-09",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "REBER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-544-6099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012546150004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahalakshmi Durai
• Earl J Buehner Jr D.D.S. P.C.
• Janice E Everette
• Scott James Gaskins, LPC
• Michele Ann Gay, M.S. CCC-SLP
• Lynda C.S. Graves, M.D.
• Esthefany Guzman Lopez
• Audrey Hammer
• Hershey Dental Associates LLC
• Crystal S Hoffmaster

• Land Ambulance in Minersville, PA
• Providers in Minersville, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.