Collingdale Volunteer Fire Company # 1

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

02017 Issued in PA

Legal business name

COLLINGDALE VOLUNTEER FIRE COMPANY # 1

Practice address

510 Clifton Ave
Collingdale, PA 19023-3615

Phone

(610) 583-3040

Fax

(610) 583-3020

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Heckman

Title

Chariman of the Board

Phone

(610) 583-3040

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1699860866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CLIFTON AVE",
            "city": "COLLINGDALE",
            "state": "PA",
            "postal_code": "190233615",
            "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": "510 CLIFTON AVE",
            "city": "COLLINGDALE",
            "state": "PA",
            "postal_code": "190233615",
            "telephone_number": "610-583-3040",
            "fax_number": "610-583-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINGDALE VOLUNTEER FIRE COMPANY # 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "HECKMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHARIMAN OF THE BOARD",
        "authorized_official_telephone_number": "610-583-3040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "02017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE B  C",
            "identifier": "0000137000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001182150 0005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETO GBA R.R. MEDICARE",
            "identifier": "590001654",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Baptist Cleary II, C.M.T.
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• Collingdale Dental Associates
• Collingdale Dentistry
• Collingdale Vision Center LLC
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• Michael Cooperstein, DMD
• Janet Elizabeth Crane, M.D.
• Crozer-Chester Medical Center
• Linda Petricia Cyril Bernard, MSW

• Land Ambulance in Collingdale, PA
• Providers in Collingdale, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.