Active NPI
West Grove Fire Company
- Ambulance
- West Grove, PA
National Provider Identifier
1598863102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 03183
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07127250001 | Medicaid | PA | |
| 590012505 | Other | PA | RRMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120504000024 | PA | Part B Supplier - Ambulance Service Supplier | 8224290481 | Practice locations: West Grove, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2134007 | West Grove Fire Company | Certificate of waiver | Jul 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.