Fort Cherry Ambulance Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

04170 Issued in PA

Legal business name

FORT CHERRY AMBULANCE INC

Practice address

8200 Noblestown Rd
MC Donald, PA 15057-2218

Phone

(724) 926-7201

Fax

(724) 926-2577

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas W Bruce

Title

President

Phone

(724) 926-7201

Specialties & licenses 1

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1124039896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 NOBLESTOWN RD",
            "city": "MC DONALD",
            "state": "PA",
            "postal_code": "150572218",
            "telephone_number": "724-926-7201",
            "fax_number": "724-926-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 NOBLESTOWN RD",
            "city": "MC DONALD",
            "state": "PA",
            "postal_code": "150572218",
            "telephone_number": "724-926-7201",
            "fax_number": "724-926-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT CHERRY AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-926-7201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019174040001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Anne Dugan, COTA/L
• Alfred Dunn, FNP
• Family Owned Pharmacies of PA LLC
• Family Owned Pharmacies of PA LLC
• Donald Edward Fetterolf, MD, MBA
• Fort Cherry School District
• Breauna Shanice Franklin
• Giant Eagle Inc
• Jessica M Gilbert, SLP
• James Lloyd Goodge IV, DC

• Ambulance in MC Donald, PA
• Providers in MC Donald, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.