Good Fellowship Club of Chester County, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

06034 Issued in PA

Legal business name

GOOD FELLOWSHIP CLUB OF CHESTER COUNTY, INC.

Practice address

600 Montgomery Ave
West Chester, PA 19380-4429

Phone

(610) 431-3132

Fax

(610) 840-0413

NPI assigned

Oct 28, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Timothy N Bossert

Title

Chief Operating Officer

Phone

(610) 431-8780

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1316937469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193810361",
            "telephone_number": "610-431-3132",
            "fax_number": "610-840-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MONTGOMERY AVE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804429",
            "telephone_number": "610-431-3132",
            "fax_number": "610-840-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD FELLOWSHIP CLUB OF CHESTER COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "BOSSERT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "610-431-8780",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "03056",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "06034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007127520001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Goldstein
• Emily Goldsworthy
• Alexander C Goldwater, EDD
• Nina C Golojuch, DMD
• Nasrin Golshan, MD
• Jason Husband Goodchild, D.M.D.
• Ayo Maria Gooden, PHD, ABPBC, LLC
• Michelle Goodkind
• Raman N Gopalakrishnan, MD
• Anuja Gopalan

• Land Ambulance in West Chester, PA
• Providers in West Chester, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.