Fleetwood Vol Fire Co 1

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05060 Issued in PA

Legal business name

FLEETWOOD VOL FIRE CO 1

Practice address

16 N Chestnut St
Fleetwood, PA 19522-1227

Phone

(610) 944-7676

Fax

(610) 944-7612

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dana Noll

Title

Director of EMS

Phone

(610) 944-7676

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1770628984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "city": "ELVERSON",
            "state": "PA",
            "postal_code": "195200094",
            "telephone_number": "610-944-7676",
            "fax_number": "610-944-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N CHESTNUT ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221227",
            "telephone_number": "610-944-7676",
            "fax_number": "610-944-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEETWOOD VOL FIRE CO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "NOLL",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "DIRECTOR OF EMS",
        "authorized_official_telephone_number": "610-944-7676",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018754110002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0433013000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "218385",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fleetwood Area School District
• Fleetwood Chiropractic & Wellness Center, PC
• Fleetwood Dental Professional Corporation
• Fleetwood Family Dental Care LLC
• Fleetwood Footcare Center, PC (Fleetwood Foot and Ankle Center)
• Ashley Vellela Flor, PSYD
• Maria Flores
• Francis Foley, MD
• Deidre Folk
• Karla Gallardo-Rosa

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.