Covington Independent Volunteer Fire Co

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COVINGTON INDEPENDENT VOLUNTEER FIRE CO

Practice address

452 Daleville Hwy
Covington Township, PA 18444-7835

Phone

(570) 842-4130

Fax

(570) 842-9458

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Forrest M Pierce

Title

Treasurer

Phone

(570) 842-4130

Specialties & licenses 1

Addresses

Other identifiers 3

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

Locations

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1093767162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 DALEVILLE HWY",
            "city": "COVINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184447835",
            "telephone_number": "570-842-4130",
            "fax_number": "570-842-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 DALEVILLE HWY",
            "city": "COVINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184447835",
            "telephone_number": "570-842-4130",
            "fax_number": "570-842-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON INDEPENDENT VOLUNTEER FIRE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "FORREST",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "570-842-4130"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2385294",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY HEALTH PLAN",
            "identifier": "20017017",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017651240002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Arnold, D.C.
• Elaine Coutros Blondek
• Mariah Lee Davis, LCSW
• Susan D Decesare, PSY. D.
• Heather Elick
• Eugene D Harasym
• Allyson Kristen Favuzza, DNP, CRNP, FNP-C

• Land Ambulance in Covington Township, PA
• Providers in Covington Township, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.