SOUTH MOUNTAIN VOLUNTEER FIRE COMPANY (NPI# 1205828944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205828944 |
| Entity Type | Organization |
| Organization Name | SOUTH MOUNTAIN VOLUNTEER FIRE COMPANY |
| Practice Address |
11207 Loop Rd Fayetteville PA 17222-9284 |
| Mailing Address |
Po Box 92 South Mountain PA 17261-0092 |
| Practice Telephone | 7177495733 |
| Practice Fax Number | 7177495219 |
| Mailing Telephone | 7177495733 |
| Mailing Fax Number | 7177495219 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2013-01-21 |
| Authorized Official Name | STACY J STALEY (EMS SUPERVIOR) |
| Authorized Official Telephone | 7177495733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810002579 | 05 | |
| PA | 0018234600001 | 05 | |
| MD | 411464700 | 05 |
| Street Address |
11207 LOOP RD |
| City | FAYETTEVILLE |
| State | PA |
| Zip Code | 17222-9284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306171459 | Omer E King | Counselor | 152 Wilkson Ln, Fayetteville, PA 17222-1028 | 2009-10-07 |
| 1699074161 | Tejas Nirmalkumar Narechania | Pharmacist | 5035 Lincoln Way E, Fayetteville, PA 17222-1045 | 2011-03-22 |
| 1992894620 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 5035 Lincoln Way East, Fayetteville, PA 17222-1045 | 2006-10-12 |
| 1255804688 | Daniel Ogbefho | Pharmacist | 5035 Lincoln Way E, Fayetteville, PA 17222-1045 | 2019-01-08 |
| 1760980486 | Andrew Sleboda | Pharmacist | 5035 Lincoln Way E, Fayetteville, PA 17222-1045 | 2018-01-28 |
| 1013203223 | William Anthony Jeffrey | Pharmacist | 5035 Lincoln Way E, Fayetteville, PA 17222-1045 | 2011-06-27 |
| 1275522914 | Paul Douglas Orange | Family Medicine | 4225 Lincoln Way E, Fayetteville, PA 17222-1051 | 2005-10-16 |
| 1518279439 | Guberman Co. Inc | In Home Supportive Care | 3374 Lincoln Way E, Fayetteville, PA 17222-1154 | 2010-07-08 |
| 1649240219 | Fayetteville Volunteer Fire Department | Ambulance | 101 W Main St, Fayetteville, PA 17222-1428 | 2006-01-25 |
| 1023580826 | Thomas Barnhart | Physical Therapy Assistant | 138 W Main St Apt C, Fayetteville, PA 17222-1429 | 2018-12-19 |
| Find all providers in zip 17222 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548684210 | Fayetteville Fire Department, Inc. | Ambulance | 100 N. Apple St., Fayetteville, OH 45118 | 2014-02-14 |
| 1942568472 | University Ems | Ambulance | 11942 Spring Lake Way, Fayetteville, GA 30215-8507 | 2012-05-03 |
| 1881821742 | City Ems of Georgia LLC | Ambulance | 165 Carnegie Pl, Fayetteville, GA 30214-3905 | 2009-06-18 |
| 1043455173 | Cumberland County Ems | Ambulance | 610 Gillespie Street, Fayetteville, NC 28306-1544 | 2008-12-03 |
| 1831282623 | St. Andrew's E.m.s., Inc. | Ambulance | 245 Brookclear Ln, Fayetteville, GA 30215-4639 | 2006-10-02 |
| 1689786717 | Cumberland County Hospital System | Ambulance | 610 Gillespie St, Fayetteville, NC 28306-1544 | 2006-08-31 |
| 1750337168 | Event Medical Services | Ambulance | 305 Lee St, Fayetteville, GA 30214-2055 | 2006-05-26 |
| 1053979583 | Georgia's Best Ems Transport Services LLC | Ambulance | 320 Lanier Ave W, Fayetteville, GA 30214-1600 | 2019-05-30 |
| 1245602846 | Assured Care Ems LLC | Ambulance | 124 New Hope Rd, Fayetteville, GA 30214-1360 | 2015-10-22 |
| 1942592142 | Guardian Medical Transport LLC | Ambulance | 500 Lanier Ave W, Unit 505, Fayetteville, GA 30214-7636 | 2011-05-05 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 17222 |
Please comment or provide details below to improve the information on SOUTH MOUNTAIN VOLUNTEER FIRE COMPANY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.