Modena Fire Company No 1

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05017 Issued in PA

Legal business name

MODENA FIRE COMPANY NO 1

Doing business as

Modena Fire Company

Practice address

5 N Brandywine Ave
Coatesville, PA 19320-4432

Phone

(610) 384-1311

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Douglas S Dowlin

Title

E.M.S. Chief

Phone

(610) 384-3106

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Modena Fire Company Doing business as

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

Locations

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1316959729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N BRANDYWINE AVE",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193204432",
            "telephone_number": "610-384-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N BRANDYWINE AVE",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193204432",
            "telephone_number": "610-384-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODENA FIRE COMPANY NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "DOWLIN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "E.M.S. CHIEF",
        "authorized_official_telephone_number": "610-384-3106"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007060580002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBX",
            "identifier": "0027023000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBX",
            "identifier": "0770085000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modena Fire Company",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Modena Fire Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sergey Mirakov, M.D.
• Frank Mirarchi, PSY.D.
• Rachel Arabella Misero
• Esau Mitchell, PA-C
• Anthony J Mobile
• Samuel Stanford Mohr Jr., MSN
• Seema Momen
• Jose R Monasterio, MD
• Thomas Moore
• Tasha Charlene Morris, CRNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.