Goldsboro Fire Co No 1

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03343 Issued in PA

Legal business name

GOLDSBORO FIRE CO NO 1

Practice address

57 N York St
Etters, PA 17319-8952

Phone

(717) 932-9477

NPI assigned

Jun 24, 2005

Last updated

Nov 5, 2012By 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

Marvina Conley

Title

Ambulance Captain

Phone

(717) 932-9477

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1780680603",
    "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": "57 N YORK ST",
            "city": "ETTERS",
            "state": "PA",
            "postal_code": "173198952",
            "telephone_number": "717-932-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSBORO FIRE CO NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "MARVINA",
        "authorized_official_title_or_position": "AMBULANCE CAPTAIN",
        "authorized_official_telephone_number": "717-932-9477"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001109919",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.