FELLOWS CLUB VOLUNTEER FIRE DEPT


Address: 1015 Strawberry Alley, Conneautville, PA 16406
Phone: 8145872876

FELLOWS CLUB VOLUNTEER FIRE DEPT (NPI# 1962422550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962422550
Entity Type Organization
Organization Name FELLOWS CLUB VOLUNTEER FIRE DEPT
Other Organization Name FELLOWS CLUB AMBULANCE SERVICE
Practice Address 1015 Strawberry Alley
Conneautville
PA 16406
Mailing Address Po Box 305
Conneautville
PA 16406-0305
Practice Telephone 8145872876
Mailing Telephone 8145872876
Enumeration Date 2006-07-19
Last Update Date 2016-06-21
Authorized Official Name GERALD F CARLESS (TREASURER/AMBULANCE CHIEF)
Authorized Official Telephone 8145872876
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
PA ION HEALTH 0015664520003 01
PA 0015664520003 05
PA HEALTH AMERICA 336903 01
PA HEALTH ASSURANCE 50149 01

Other Provider/Organization Names

Other Name Type Code
Fellows Club Ambulance Service Doing Business As Name - Organization

Office Location

Street Address 1015 STRAWBERRY ALLEY
City CONNEAUTVILLE
State PA
Zip Code 16406

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417422635 Ryan Green Physical Medicine & Rehabilitation 9108 Pa-198, Conneautville, PA 16406 2018-10-04
1043626559 Danijela Pandza Nurse Practitioner 906 Washinton Street, Conneautville, PA 16406 2014-07-03
1427024777 Frank Joseph Mclaughlin Family Medicine 906 Washington Street, Conneautville, PA 16406 2006-02-27
1407467020 Karlie Gaydos Physical Therapist 9108 Pa-198, Conneautville, PA 16406 2020-08-17
1215401054 Alyssa Turner Occupational Therapy Assistant 9108 Pa-198, Conneautville, PA 16406 2019-01-15
1558380469 Conneaut Valley Health Center Inc. Family Medicine 906 Washington St, Conneautville, PA 16406 2006-07-19
1154498582 Clyde Henry Faust Jr. Chiropractor 1202 Main Street, Conneautville, PA 16406-0424 2006-11-29
1487921813 Wesley C Davis Physical Therapist 9108 State Highway 198, Conneautville, PA 16406-2646 2011-11-30
1023004751 Rolling Fields Inc Skilled Nursing Facility 9108 State Hwy 198, Conneautville, PA 16406-2646 2005-09-27
1598221889 Natalie Ann Titus Occupational Therapy Assistant 9108 State Highway 198, Conneautville, PA 16406-2646 2019-02-12
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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

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1982244554 East Erie County Emergency Medical Services Corporation Ambulance 5601 Buffalo Rd, Harborcreek, PA 16421-1625 2020-01-13
1548810054 Medicteam LLC Ambulance 55 New St Ste 20, Ephrata, PA 17522-2815 2019-09-17
1639735830 Precise Medical Response Ambulance 6118 Glenloch St, Philadelphia, PA 19135-3613 2019-05-13
1558926758 S & S Medical Transport LLC Ambulance 1608 Colonial Cir, Lebanon, PA 17046-1964 2019-05-03
1811552136 Ambulnz Pa, LLC Ambulance 154 Hansen Access Rd, King of Prussia, PA 19406-2404 2019-05-02
1134681786 Starbrick Volunteer Fire Department Ambulance 5 Firemans St, Warren, PA 16365-3701 2019-04-03
1336612415 Landisburg Ems Inc Ambulance 301 Faculty Ave, Landisburg, PA 17040-0122 2019-01-10
1336615533 Marklo Ems Transport Ambulance 313 Indigo Way, Allentown, PA 18104-8422 2018-10-16
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Competitor

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City CONNEAUTVILLE
Zip Code 16406

Improve Information

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Dataset Information

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.

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