Liberty EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LIBERTY EMS

Practice address

614 Bridgeton Rd
Fawn Grove, PA 17321-9350

Phone

(443) 536-4077

NPI assigned

Nov 11, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Edward Fredrick Senkbeil

Title

Ceo/ President

Phone

(443) 789-7442

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1352592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1770827925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 BRIDGETON RD",
            "city": "FAWN GROVE",
            "state": "PA",
            "postal_code": "173219350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 BRIDGETON RD",
            "city": "FAWN GROVE",
            "state": "PA",
            "postal_code": "173219350",
            "telephone_number": "443-536-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-11",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "SENKBEIL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "CEO/ PRESIDENT",
        "authorized_official_telephone_number": "443-789-7442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Fawn Grove, PA
• Providers in Fawn Grove, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.