Goodwill Fire Company Incorporated

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GOODWILL FIRE COMPANY INCORPORATED

Practice address

212 Broadway
Centreville, MD 21617-1008

Phone

(410) 758-1422

Fax

(410) 758-3528

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Thomas H Palmatary Jr.

Title

Chief

Phone

(410) 758-1422

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teira Michelle Labrie, EMT-B

  • Basic Emergency Medical Technician
  • Centreville, MD
  • NPI 1134396625
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1821029455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216170659",
            "telephone_number": "410-758-1422",
            "fax_number": "410-758-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BROADWAY",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216171008",
            "telephone_number": "410-758-1422",
            "fax_number": "410-758-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL FIRE COMPANY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "PALMATARY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "410-758-1422",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229088000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dieudonne Fuh, PHARMD
• Michael Gasparovich, D.O.
• Genesis Rehab Services Corsica Hills
• Gene Giles
• Valerie Ellen Goodman, DO
• Kathryn Watson Gowl, PT
• Bobbi Graef
• Julia Ann Greenwood
• Rani Gutting, LMSW
• Melissa Ann Harris, NP

• Land Ambulance in Centreville, MD
• Providers in Centreville, MD by specialty
• Land Ambulance in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.