NPIMap

Organization Active NPI

Galena Volunteer Fire Co Inc

  • Paramedic
  • Galena, MD
National Provider Identifier
1346395597
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
0148360 Issued in MD
Legal business name
GALENA VOLUNTEER FIRE CO INC
Practice address
90 East Cross Street
Galena, MD 21635
Phone
(410) 648-5050
NPI assigned
Jan 25, 2007
Last updated
Feb 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Mr. Richard T Koch Sr., PARAMEDIC
Title
Chief
Phone
(410) 648-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 0148360 MD Primary

Addresses

Primary practice location

90 East Cross Street
Galena, MD 21635

Mailing address

PO Box 189
Galena, MD 21635-0189
Phone (410) 648-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120328000546 MD Part B Supplier - Ambulance Service Supplier 9436319472 Practice locations: Galena, MD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1346395597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "GALENA",
            "state": "MD",
            "postal_code": "216350189",
            "telephone_number": "410-648-5050",
            "fax_number": "410-648-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 EAST CROSS STREET",
            "city": "GALENA",
            "state": "MD",
            "postal_code": "21635",
            "telephone_number": "410-648-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALENA VOLUNTEER FIRE CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "410-648-5050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MD",
            "license": "0148360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.