Active NPI
Goodwill Steam Fire Engine Co - 1
- Ambulance
- Pottstown, PA
National Provider Identifier
1831175660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 02259
- Legal business name
- GOODWILL STEAM FIRE ENGINE CO - 1
- Practice address
- 714 High St
Pottstown, PA 19464 - Phone
- (610) 970-0878
- Fax
- (610) 970-9263
- NPI assigned
- Dec 22, 2005
- 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
- Cathy J Kollar
- Title
- Billing Coordinator
- Phone
- (610) 970-0878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 02259 | PA | Primary |
Addresses
Primary practice location
714 High St
Pottstown, PA 19464
Mailing address
PO Box 207
Allentown, PA 18105-0207
Phone (484) 664-2007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007316500001 | Medicaid | PA |
Other names 1
- Goodwill Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100111000159 | PA | Part B Supplier - Ambulance Service Supplier | 3870634058 | Practice locations: Pottstown, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1070488 | Goodwill Steam Fire Engine Company #1 | Certificate of waiver | Jun 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
144 W Schuylkill Rd
Pottstown, PA 19465
Phone (610) 323-3263
714 E High St
Pottstown, PA 19464
Phone (610) 326-5460
815 White Pine Ln
Pottstown, PA 19464
Phone (610) 326-5460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318550400000",
"number": "1831175660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181050207",
"telephone_number": "484-664-2007",
"fax_number": "484-664-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 HIGH ST",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "19464",
"telephone_number": "610-970-0878",
"fax_number": "610-970-9263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODWILL STEAM FIRE ENGINE CO - 1",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-22",
"last_updated": "2011-10-14",
"status": "A",
"authorized_official_last_name": "KOLLAR",
"authorized_official_first_name": "CATHY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BILLING COORDINATOR",
"authorized_official_telephone_number": "610-970-0878"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PA",
"license": "02259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007316500001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Goodwill Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pottstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.