GOOD FELLOWSHIP CLUB OF CHESTER COUNTY, INC. (NPI# 1316937469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316937469 |
| Entity Type | Organization |
| Organization Name | GOOD FELLOWSHIP CLUB OF CHESTER COUNTY, INC. |
| Practice Address |
600 Montgomery Ave West Chester PA 19380-4429 |
| Mailing Address |
Po Box 361 West Chester PA 19381-0361 |
| Practice Telephone | 6104313132 |
| Practice Fax Number | 6108400413 |
| Mailing Telephone | 6104313132 |
| Mailing Fax Number | 6108400415 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2019-08-06 |
| Authorized Official Name | MR. TIMOTHY N BOSSERT (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6104318780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | 03056 | PA | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
06034 | PA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0007127520001 | 05 |
| Street Address |
600 MONTGOMERY AVE |
| City | WEST CHESTER |
| State | PA |
| Zip Code | 19380-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841690146 | Ian Sadock | Emergency Medical Technician, Intermediate | 600 Montgomery Ave, West Chester, PA 19380-4429 | 2014-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846062 | Mikaela Lynn Mastromatto | Occupational Therapist | 1615 Boot Rd, West Chester, PA 19380 | 2020-09-17 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1457984759 | Dana Marie Buckalew | Nurse Practitioner | 915 Fern Hill Road, Building A Suite 3, West Chester, PA 19380 | 2020-02-15 |
| 1285102921 | Audrey Caulfeild Caspar-clark | Dietitian, Registered | 221 Chatham Way, West Chester, PA 19380 | 2018-11-12 |
| 1497245260 | Hshc, Inc. | Audiologist-Hearing Aid Fitter | 131 North Church Street, West Chester, PA 19380 | 2018-05-16 |
| 1164946364 | Kevin Hayes | Social Worker | 310 N Matlack St., West Chester, PA 19380 | 2017-07-29 |
| 1750804472 | Pamela Ann Najera | Psychologist | 390 E. Boot Road, West Chester, PA 19380 | 2017-07-25 |
| 1356723613 | Rynda Ross Ganster | Nurse Practitioner | 400 E. Marshall St., West Chester, PA 19380 | 2015-06-23 |
| 1164823845 | Jeffrey Diksa | Behavioral Analyst | 117 E Chestnut St., Apt 307, West Chester, PA 19380 | 2014-09-12 |
| 1134535057 | Miranda Wolff | Speech-Language Pathologist | 1507 Manchester Ct, Apt 304, West Chester, PA 19380 | 2014-07-11 |
| Find all providers in zip 19380 | ||||
| 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 |
|---|---|---|---|---|
| 1932126588 | Goshen Fire Company | Ambulance | 1320 Park Ave, West Chester, PA 19380-6251 | 2006-07-17 |
| 1235139445 | West Chester Township Trustee | Ambulance | 9119 Cincinnati Dayton Rd, West Chester, OH 45069-3840 | 2005-07-29 |
| 1831189133 | Professional Providers Inc | Ambulance | 701 E Marshall St, West Chester, PA 19380-4412 | 2005-10-27 |
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| 1336615533 | Marklo Ems Transport | Ambulance | 313 Indigo Way, Allentown, PA 18104-8422 | 2018-10-16 |
| Find all providers with the same taxonomy | ||||
| City | WEST CHESTER |
| Zip Code | 19380 |
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| 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.