Greenfield TWP. Vol. Fire Co.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

02140 Issued in PA

Legal business name

GREENFIELD TWP. VOL. FIRE CO.

Practice address

424 Route 106
Greenfield Township, PA 18407-3904

Phone

(570) 282-4981

NPI assigned

Nov 30, 2006

Last updated

Oct 16, 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

Mr. Richard W Whitelavich

Title

EMS Captain

Phone

(570) 282-4981

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1780752691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 ROUTE 106",
            "city": "GREENFIELD TOWNSHIP",
            "state": "PA",
            "postal_code": "184073904",
            "telephone_number": "570-282-5652",
            "fax_number": "570-282-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 ROUTE 106",
            "city": "GREENFIELD TOWNSHIP",
            "state": "PA",
            "postal_code": "184073904",
            "telephone_number": "570-282-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD TWP. VOL. FIRE CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "WHITELAVICH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EMS CAPTAIN",
        "authorized_official_telephone_number": "570-282-4981",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "02140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC NEPA ACCESS CARE 2",
            "identifier": "1628123",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015556",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SECURITY 65",
            "identifier": "218247",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2304952000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "814485",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MAJOR MEDICAL",
            "identifier": "998541",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011561250001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• B-K Health Center, Inc. (NEPA Community Health Care)
• Shelley Garrick
• Kayla Gatto, CRNP
• Dylan Gary Kilmer
• Jennifer Lee Malak, P.T.
• Kimberly Mazzoni, RDLDN
• Melissa McPartland, D.C.
• Alanna O'Malley

• Land Ambulance in Greenfield Township, PA
• Providers in Greenfield Township, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.