Second Alarmer's Assn & Rescue Squad of Montgomery County Inc

Primary specialty

ParamedicTaxonomy code 146L00000X

License

13-0025 Issued in PA

Legal business name

SECOND ALARMER'S ASSN & RESCUE SQUAD OF MONTGOMERY COUNTY INC

Practice address

307 Davisville Rd
Willow Grove, PA 19090-3322

Phone

(215) 659-1885

Fax

(215) 659-3177

NPI assigned

May 27, 2005

Last updated

Nov 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Renee Louise Bates

Title

Executive Director

Phone

(215) 659-1885

Specialties & licenses 1

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

Locations

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1376546093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190900013",
            "telephone_number": "215-659-1885",
            "fax_number": "215-659-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 DAVISVILLE RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190903322",
            "telephone_number": "215-659-1885",
            "fax_number": "215-659-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND ALARMER'S ASSN & RESCUE SQUAD OF MONTGOMERY COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-659-1885",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "PA",
            "license": "13-0025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010508300003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Laurie K Segal, MSPA,CCC-SLP
• Megan Seigenfuse, LPC
• Yevgeniya Sergeyenko, MD, MPH
• Julie D. Sergio, MSPT
• Seema Niphadkar Sethi, DO

• Paramedic in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Paramedic in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.