Active NPI
Branchville Volunteer Fire Company and Rescue Squad Inc.
- Land Ambulance
- College Park, MD
National Provider Identifier
1326043340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- BRANCHVILLE VOLUNTEER FIRE COMPANY AND RESCUE SQUAD INC.
- Practice address
- 4905 Branchville Rd
College Park, MD 20740-2012 - Phone
- (301) 883-7711
- Fax
- (301) 342-8994
- NPI assigned
- Jun 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald Leizear
- Title
- President
- Phone
- (301) 883-7711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
4905 Branchville Rd
College Park, MD 20740-2012
Mailing address
PO Box 726
New Cumberland, PA 17070-0726
Phone (717) 214-6018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405203000 | Medicaid | MD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231200000000",
"number": "1326043340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 726",
"city": "NEW CUMBERLAND",
"state": "PA",
"postal_code": "170700726",
"telephone_number": "717-214-6018",
"fax_number": "717-214-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4905 BRANCHVILLE RD",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207402012",
"telephone_number": "301-883-7711",
"fax_number": "301-342-8994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRANCHVILLE VOLUNTEER FIRE COMPANY AND RESCUE SQUAD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-16",
"last_updated": "2009-01-06",
"status": "A",
"authorized_official_last_name": "LEIZEAR",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-883-7711"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405203000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in College Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.