Beech Creek-Blanchard Volunteer Fire Company

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BEECH CREEK-BLANCHARD VOLUNTEER FIRE COMPANY

Practice address

38 Locust St
Beech Creek, PA 16822-6803

Phone

(570) 962-2382

Fax

(570) 962-2333

NPI assigned

Oct 15, 2012

Last updated

May 17, 2013By 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

Maxine L Shady

Title

President

Phone

(570) 962-2382

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1396097374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "BEECH CREEK",
            "state": "PA",
            "postal_code": "168220144",
            "telephone_number": "570-962-2382",
            "fax_number": "570-962-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 LOCUST ST",
            "city": "BEECH CREEK",
            "state": "PA",
            "postal_code": "168226803",
            "telephone_number": "570-962-2382",
            "fax_number": "570-962-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECH CREEK-BLANCHARD VOLUNTEER FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "SHADY",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-962-2382"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027970720001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beech Creek-Blanchard Volunteer Fire Company
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• Matthew Thomas Bossert, DC
• Avery Nicole Eckley
• Steven R Hendricks, DO

• Land Ambulance in Beech Creek, PA
• Providers in Beech Creek, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.