Organization Active NPI

Goodwill Steam Fire Engine Co - 1

  • Ambulance
  • Pottstown, PA
National Provider Identifier
1831175660
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
02259 Issued in PA
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

Updated by the provider on Oct 14, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0007316500001MedicaidPA

Other names 1

  • Goodwill Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100111000159 PA Part B Supplier - Ambulance Service Supplier 3870634058 Practice locations: Pottstown, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1070488Goodwill Steam Fire Engine Company #1714 High Street, Pottstown, PA 19464Certificate of waiverJun 28, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.