Fallowfield Fire and Rescue Company

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

FALLOWFIELD FIRE AND RESCUE COMPANY

Practice address

9328 Atlantic Road
Atlantic, PA 16111-0001

Phone

(814) 832-4452

NPI assigned

Aug 2, 2023

Last updated

Aug 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jesse Walker

Title

Vice President

Phone

(724) 813-4452

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1083396824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831141",
            "telephone_number": "724-887-6822",
            "fax_number": "724-887-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9328 ATLANTIC ROAD",
            "city": "ATLANTIC",
            "state": "PA",
            "postal_code": "161110001",
            "telephone_number": "814-832-4452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6759 Center Street",
            "address_purpose": "LOCATION",
            "city": "Hartstown",
            "state": "PA",
            "postal_code": "161310001",
            "country_code": "US",
            "telephone_number": "814-832-4452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FALLOWFIELD FIRE AND RESCUE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "724-813-4452"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Detweiler, NHP
• Brittany Marie Mears, MA, NCC, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.