Spartansburg Volunteer Fire Dept & Relief Assn

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SPARTANSBURG VOLUNTEER FIRE DEPT & RELIEF ASSN

Practice address

340 Main Street
Spartansburg Vol Fire Dept Ambulance Service
Spartansburg, PA 16434

Phone

(814) 654-7336

Fax

(814) 654-7162

NPI assigned

Jan 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William E Scouten Jr.

Title

President

Phone

(814) 654-7336

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1255319570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "address_2": "SPARTANSBURG VOL FIRE DEPT AMBULANCE SERVICE",
            "city": "SPARTANSBURG",
            "state": "PA",
            "postal_code": "164340186",
            "telephone_number": "814-654-7336",
            "fax_number": "814-654-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MAIN STREET",
            "address_2": "SPARTANSBURG VOL FIRE DEPT AMBULANCE SERVICE",
            "city": "SPARTANSBURG",
            "state": "PA",
            "postal_code": "16434",
            "telephone_number": "814-654-7336",
            "fax_number": "814-654-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANSBURG VOLUNTEER FIRE DEPT & RELIEF ASSN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "SCOUTEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-654-7336",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012030350002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/ASSURANCE",
            "identifier": "341659",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendelin Jaworski, CRNP
• John E Balmer Jr. DO
• Kayla King, NTP
• Jennifer L. Schoch, CRNP
• Spartansburg Pharmacy LLC (Spartansburg Pharmacy)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.