Active NPI
Williamsport Volunteer Fire and Emergency Medical Services, Inc.
- Land Ambulance
- Williamsport, MD
National Provider Identifier
1821244310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- WILLIAMSPORT VOLUNTEER FIRE AND EMERGENCY MEDICAL SERVICES, INC.
- Practice address
- 2 Brandy Dr
Williamsport, MD 21795-1558 - Phone
- (410) 479-4790
- Fax
- (410) 479-4793
- NPI assigned
- Aug 15, 2008
- Last updated
- Nov 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donnie Bingaman
- Title
- Fire Chief
- Phone
- (301) 223-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
2 Brandy Dr
Williamsport, MD 21795-1558
Mailing address
892 New Castle Rd
Slippery Rock, PA 16057-4228
Phone (800) 280-5974
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 416119000 | Medicaid | MD | |
| P00702079 | Other | RAILROAD MEDICARE | |
| 142697 | Other | MEDICARE |
Other names 1
- WILLIAMSPORT VOL FIRE AND EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090205000235 | MD | Part B Supplier - Ambulance Service Supplier | 4284798299 | Practice locations: Williamsport, MD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636329600000",
"number": "1821244310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "892 NEW CASTLE RD",
"city": "SLIPPERY ROCK",
"state": "PA",
"postal_code": "160574228",
"telephone_number": "800-280-5974",
"fax_number": "800-280-5974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BRANDY DR",
"city": "WILLIAMSPORT",
"state": "MD",
"postal_code": "217951558",
"telephone_number": "410-479-4790",
"fax_number": "410-479-4793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMSPORT VOLUNTEER FIRE AND EMERGENCY MEDICAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-15",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A",
"authorized_official_last_name": "BINGAMAN",
"authorized_official_first_name": "DONNIE",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "301-223-9500"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "416119000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00702079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "142697",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WILLIAMSPORT VOL FIRE AND EMS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Williamsport, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.