Fayetteville Volunteer Fire Department

Primary specialty

AmbulanceTaxonomy code 341600000X

License

05003 Issued in PA

Legal business name

FAYETTEVILLE VOLUNTEER FIRE DEPARTMENT

Practice address

101 W Main St
Fayetteville, PA 17222-1428

Phone

(717) 352-7723

Fax

(717) 352-8302

NPI assigned

Jan 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Leslie K Shreve

Title

Billing Office Manager

Phone

(717) 352-7723

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1649240219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "FAYETTEVILLE",
            "state": "PA",
            "postal_code": "172221428",
            "telephone_number": "717-352-7723",
            "fax_number": "717-352-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "FAYETTEVILLE",
            "state": "PA",
            "postal_code": "172221428",
            "telephone_number": "717-352-7723",
            "fax_number": "717-352-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTEVILLE VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "SHREVE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING OFFICE MANAGER",
        "authorized_official_telephone_number": "717-352-7723",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "05003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010609160002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010609160005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra M. Cifor, DO
• John Michael Connor, DO
• Jill Cooke
• Sandra R Cooper, PTA
• Melissa Davis, CRNP
• Joan Marie Finui, PTA
• Amy Fleming, COTA/L
• Jenelle Fortney
• Guberman Co. Inc (Comfort Keepers)
• Sherri Holmes, LSW

• Ambulance in Fayetteville, PA
• Providers in Fayetteville, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.