Organization Active NPI

Exeter TWP Volunteer Ambulance Association

  • Ambulance
  • Reading, PA
National Provider Identifier
1891771093
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
03401 Issued in PA
Legal business name
EXETER TWP VOLUNTEER AMBULANCE ASSOCIATION
Practice address
30 Fairlane Rd
Reading, PA 19606-9563
Phone
(610) 779-7687
Fax
(610) 779-8538
NPI assigned
Dec 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
Richard J Bowers
Title
Executive Director
Phone
(610) 779-7687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 03401 PA Primary

Addresses

Primary practice location

30 Fairlane Rd
Reading, PA 19606-9563

Mailing address

30 Fairlane Rd
Reading, PA 19606-9563
Phone (610) 779-7687

Other identifiers 1

IdentifierTypeStateIssuer
0011097300002MedicaidPA

Other names 1

  • Exeter Ambulance Association Former legal business name

National Provider Directory

National Provider Directory

Locations

1036 MacArthur Rd
Reading, PA 19605
Phone (610) 779-7687

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1891771093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 FAIRLANE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069563",
            "telephone_number": "610-779-7687",
            "fax_number": "610-779-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 FAIRLANE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069563",
            "telephone_number": "610-779-7687",
            "fax_number": "610-779-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXETER TWP VOLUNTEER AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-779-7687"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "03401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011097300002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exeter Ambulance Association",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.