Bloomfield Township VFD

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04012 Issued in PA

Legal business name

BLOOMFIELD TOWNSHIP VFD

Practice address

22978 Shreve Ridge Rd
Union City, PA 16438-3550

Phone

(814) 807-0670

Fax

(814) 807-0673

NPI assigned

Feb 5, 2007

Last updated

May 6, 2013By 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

Mr. Jerry L Kalkbrenner

Title

Treasurer

Phone

(814) 654-7303

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1124167234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163350061",
            "telephone_number": "814-807-0670",
            "fax_number": "814-807-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22978 SHREVE RIDGE RD",
            "city": "UNION CITY",
            "state": "PA",
            "postal_code": "164383550",
            "telephone_number": "814-807-0670",
            "fax_number": "814-807-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD TOWNSHIP VFD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "KALKBRENNER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "814-654-7303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007603010004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan James Tomczak (Custom Contracting)
• Rogelio Manalo Allanigue, M.D.
• Grace Ann Barto
• Bontral, Inc. (Union City Pharmacy)
• Corry Memorial Hospital Association
• Daren Allen LCSW LLC
• Harriet Elizabeth Davis, CRNP
• Cynthia S Denial, LPN

• Land Ambulance in Union City, PA
• Providers in Union City, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.