Organization Active NPI

Westwood Fire Company Ambulance Wagontown Division

  • Land Ambulance
  • Glenmoore, PA
National Provider Identifier
1700407343
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WESTWOOD FIRE COMPANY AMBULANCE WAGONTOWN DIVISION
Practice address
578 Fairview Rd
Glenmoore, PA 19343-1405
Phone
(610) 383-1453
NPI assigned
May 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
John Sly
Title
President
Phone
(717) 724-4136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

578 Fairview Rd
Glenmoore, PA 19343-1405

Mailing address

PO Box 726
New Cumberland, PA 17070-0726
Phone (717) 724-4136

Other practice location 1

412 West Kings Highway
Coatesville, PA 19320
Phone (717) 724-4136

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200519000594 PA Part B Supplier - Ambulance Service Supplier 1658702097 Practice locations: Coatesville, PA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1700407343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170700726",
            "telephone_number": "717-724-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 FAIRVIEW RD",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193431405",
            "telephone_number": "610-383-1453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 West Kings Highway",
            "address_purpose": "LOCATION",
            "city": "Coatesville",
            "state": "PA",
            "postal_code": "19320",
            "country_code": "US",
            "telephone_number": "717-724-4136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTWOOD FIRE COMPANY AMBULANCE WAGONTOWN DIVISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "SLY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-724-4136"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenmoore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.