Genesee Township Volunteer Fire

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03044 Issued in PA

Legal business name

GENESEE TOWNSHIP VOLUNTEER FIRE

Practice address

405 Main St
Genesee, PA 16923-8806

Phone

(814) 228-3319

NPI assigned

Jan 9, 2006

Last updated

Jan 25, 2024By 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

Roy Ward

Title

EMS Chief

Phone

(814) 203-1498

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Genesee Township Volunteer Fire Department Inc Other name

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1720066855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831141",
            "telephone_number": "724-887-6822",
            "fax_number": "724-887-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MAIN ST",
            "city": "GENESEE",
            "state": "PA",
            "postal_code": "169238806",
            "telephone_number": "814-228-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE TOWNSHIP VOLUNTEER FIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "814-203-1498"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015032830005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesee Township Volunteer Fire Department Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maryellen Marie Eck, LPN
• Christie Lee Kerschner, PHYSICIAN ASSISTANT
• Nancy J Kerschner, LPN
• Misty Torrey

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.