East Butler Volunteer Fire Co & Relief Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

02232 Issued in PA

Legal business name

EAST BUTLER VOLUNTEER FIRE CO & RELIEF ASSOCIATION

Practice address

808 Grant Ave
East Butler, PA 16029-0162

Phone

(724) 468-1212

Fax

(724) 468-1204

NPI assigned

Oct 12, 2006

Last updated

Sep 19, 2012By 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

Kevin Hesidenz

Title

Coo

Phone

(724) 468-1212

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1194814723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 GRANT AVE",
            "city": "EAST BUTLER",
            "state": "PA",
            "postal_code": "160290162",
            "telephone_number": "724-468-1212",
            "fax_number": "724-468-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 GRANT AVE",
            "city": "EAST BUTLER",
            "state": "PA",
            "postal_code": "160290162",
            "telephone_number": "724-468-1212",
            "fax_number": "724-468-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BUTLER VOLUNTEER FIRE CO & RELIEF ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "HESIDENZ",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "724-468-1212"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "02232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012684500001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bowser
• John Wilson Hoffman Jr., DO
• Lenora D. Karenbauer, RN
• Jacqueline R Kuth, CRNA
• Nonprofit Development Corporation
• Gail E Reed, CRNA

• Land Ambulance in East Butler, PA
• Providers in East Butler, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.