Joppa Magnolia Volunteer Fire Co. Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

JOPPA MAGNOLIA VOLUNTEER FIRE CO. INC.

Practice address

1403 Old Mountain Road S
Joppa, MD 21085-3103

Phone

(410) 679-1055

Fax

(410) 679-3420

NPI assigned

Aug 31, 2006

Last updated

Nov 14, 2011By 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

Mr. Robert W Russell

Title

President

Phone

(410) 679-1055

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1689785974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 OLD MOUNTAIN ROAD S",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210853103",
            "telephone_number": "410-679-1055",
            "fax_number": "410-679-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 OLD MOUNTAIN ROAD S",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210853103",
            "telephone_number": "410-679-1055",
            "fax_number": "410-679-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOPPA MAGNOLIA VOLUNTEER FIRE CO. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-679-1055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "590008873",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE SHIELD",
            "identifier": "T413",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS/BLUE SHIELD",
            "identifier": "Y938",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "914550800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jarest, OTR/L
• Sonia Michele Johnson, LMSW
• Donna Jones, RN
• Jessica Noel Jones, RN
• Joppa Health Services, Inc.
• Jada Jordan-Dasilva, LMSW
• Joyce Joyner
• Kids N' Play Occupational Therapy
• Terry King, PT
• Kmmbc, LLC

• Land Ambulance in Joppa, MD
• Providers in Joppa, MD by specialty
• Land Ambulance in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.