Organization Active NPI

West Grove Fire Company

  • Ambulance
  • West Grove, PA
National Provider Identifier
1598863102
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
03183 Issued in PA
Legal business name
WEST GROVE FIRE COMPANY
Practice address
101 Walnut Ave
West Grove, PA 19390-1111
Phone
(610) 869-9326
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Lisa Glass
Title
Secretary
Phone
(610) 869-9326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 03183 PA Primary

Addresses

Primary practice location

101 Walnut Ave
West Grove, PA 19390-1111

Mailing address

PO Box 329
Willow Street, PA 17584-0329
Phone (717) 464-0724

Other identifiers 2

IdentifierTypeStateIssuer
07127250001MedicaidPA
590012505OtherPARRMC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120504000024 PA Part B Supplier - Ambulance Service Supplier 8224290481 Practice locations: West Grove, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2134007West Grove Fire Company101 Walnut Street, West Grove, PA 19390Certificate of waiverJul 24, 2027

National Provider Directory

National Provider Directory

Locations

101 Walnut Ave
West Grove, PA 19390
Phone (610) 869-9323

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1598863102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175840329",
            "telephone_number": "717-464-0724",
            "fax_number": "717-464-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WALNUT AVE",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193901111",
            "telephone_number": "610-869-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GROVE FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "610-869-9326"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "03183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07127250001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "590012505",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Grove, PA

Sources for this page

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