Springboro Volunteer Fire Dept & Relief Assn

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SPRINGBORO VOLUNTEER FIRE DEPT & RELIEF ASSN

Practice address

176 N Main St
Springboro, PA 16435-3304

Phone

(814) 587-3514

Fax

(814) 587-2891

NPI assigned

Aug 14, 2008

Last updated

Jul 2, 2010By 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

David J Bates

Title

President

Phone

(814) 587-3514

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": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1245486893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 N MAIN ST",
            "city": "SPRINGBORO",
            "state": "PA",
            "postal_code": "164353304",
            "telephone_number": "814-587-3514",
            "fax_number": "814-587-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 N MAIN ST",
            "city": "SPRINGBORO",
            "state": "PA",
            "postal_code": "164353304",
            "telephone_number": "814-587-3514",
            "fax_number": "814-587-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGBORO VOLUNTEER FIRE DEPT & RELIEF ASSN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-587-3514"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022154900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy Louise Braden
• Joyce A Brenc, CNM
• Carolyn S Pershing
• Rachel Skelton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.