Organization Active NPI

Greenfield Township Volunteer Fire Company

  • Land Ambulance
  • North East, PA
National Provider Identifier
1629042205
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
GREENFIELD TOWNSHIP VOLUNTEER FIRE COMPANY
Practice address
10160 Station Rd
North East, PA 16428-5704
Phone
(814) 725-9109
Fax
(814) 725-2936
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Steve Rathmann
Title
President
Phone
(814) 725-9109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

10160 Station Rd
North East, PA 16428-5704

Mailing address

10160 Station Rd
North East, PA 16428-5704
Phone (814) 725-9109

Other identifiers 3

IdentifierTypeStateIssuer
282340OtherPABLUE CROSS/BLUE SHIELD
0010915740003MedicaidPA
000000083245OtherPAUNISON

Other names 1

  • Greenfield Twp Vol Fire Co EMS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130920000200 PA Part B Supplier - Ambulance Service Supplier 0941444582 Practice locations: North East, PA

National Provider Directory

National Provider Directory

Locations

10160 Station Rd
North East, PA 16428
Phone (814) 725-9109

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1629042205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10160 STATION RD",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164285704",
            "telephone_number": "814-725-9109",
            "fax_number": "814-725-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10160 STATION RD",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164285704",
            "telephone_number": "814-725-9109",
            "fax_number": "814-725-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD TOWNSHIP VOLUNTEER FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "RATHMANN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-725-9109"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "282340",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010915740003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000083245",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenfield Twp Vol Fire Co EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North East, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.