Blue Ridge Mountain Volunteer Fire & Rescue Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03233 Issued in PA

Legal business name

BLUE RIDGE MOUNTAIN VOLUNTEER FIRE & RESCUE SQUAD INC

Practice address

13063 Monterey LN
Blue Ridge Summit, PA 17214-9761

Phone

(717) 794-2323

Fax

(717) 794-2831

NPI assigned

Jun 16, 2005

Last updated

Sep 14, 2009By 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

John Fleagle

Title

Administrator

Phone

(717) 794-2323

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1740285758",
    "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": "717-214-6018",
            "fax_number": "717-214-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13063 MONTEREY LN",
            "city": "BLUE RIDGE SUMMIT",
            "state": "PA",
            "postal_code": "172149761",
            "telephone_number": "717-794-2323",
            "fax_number": "717-794-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE MOUNTAIN VOLUNTEER FIRE & RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "FLEAGLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "717-794-2323"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001811666",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Margaret Elizabeth Schaeffer

• Land Ambulance in Blue Ridge Summit, PA
• Providers in Blue Ridge Summit, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.