Fairview Township Emergency Medical Services Corporation

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

Legal business name

FAIRVIEW TOWNSHIP EMERGENCY MEDICAL SERVICES CORPORATION

Practice address

522 Locust Rd
New Cumberland, PA 17070-3139

Phone

(717) 932-6101

Fax

(717) 932-4424

NPI assigned

Mar 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy D Maugans

Title

EMS Chief

Phone

(717) 932-6101

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1932169422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 LOCUST RD",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170703139",
            "telephone_number": "717-932-6101",
            "fax_number": "717-932-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 LOCUST RD",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170703139",
            "telephone_number": "717-932-6101",
            "fax_number": "717-932-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW TOWNSHIP EMERGENCY MEDICAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "MAUGANS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "717-932-6101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "PA",
            "license": "03221",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015505320002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Dellegrotto, EDD CCC SLP
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• Richard A Fortenbaugh, D.D.S
• Suzanne Marie Fox
• Rayann Gallaher
• Kayla Marie Ganger, PA-C

• Basic Emergency Medical Technician in New Cumberland, PA
• Providers in New Cumberland, PA by specialty
• Basic Emergency Medical Technician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.