MEDICARE: SOUTH MOUNTAIN VOLUNTEER FIRE COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205828944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH MOUNTAIN VOLUNTEER FIRE COMPANY

Provider Business Mailing Address
First Line	:	PO BOX 92
Second Line	:
City	:	SOUTH MOUNTAIN
State	:	PA
Zip	:	17261-0092
Country	:	US
Telephone Number	:	717-749-5733
Fax Number	:	717-749-5219

Provider Business Practice Location Address
First Line	:	11207 LOOP RD
Second Line	:
City	:	FAYETTEVILLE
State	:	PA
Zip	:	17222-9284
Country	:	US
Telephone Number	:	717-749-5733
Fax Number	:	717-749-5219

Authorized Official
Title or Position	:	EMS SUPERVIOR
Name	:	STACY J STALEY
Credential	:
Telephone Number	:	717-749-5733

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	01/21/2013

Similar Medicare Providers

1235130147 — DR. GEORGE WILLIAM BAKER JR. MD
Practice Location Address:

130 E MAIN ST
FAYETTEVILLE, PA
17222-9503

Practice Phone: 717-352-7881
Practice Fax: 717-352-8850

1699760637 — DR. SANDRA M. CIFOR DO
Practice Location Address:

7008 AUGUSTA NATIONAL
FAYETTEVILLE, PA
17222-9418

Practice Phone: 301-730-4212
Practice Fax:

1275522914 — DR. PAUL DOUGLAS ORANGE M.D.
Practice Location Address:

4225 LINCOLN WAY E
FAYETTEVILLE, PA
17222-1051

Practice Phone: 717-352-3616
Practice Fax: 717-352-9013

1649240219 — FAYETTEVILLE VOLUNTEER FIRE DEPARTMENT
Practice Location Address:

101 W MAIN ST
FAYETTEVILLE, PA
17222-1428

Practice Phone: 717-352-7723
Practice Fax: 717-352-8302

1144285792 — DR. YIN KEONG NGEOW M.D.
Practice Location Address:

6307 FAIRWAY DR W
FAYETTEVILLE, PA
17222-9236

Practice Phone: 717-352-7576
Practice Fax: 717-352-4030

1447201546 — DR. JOHN MICHAEL CONNOR DO
Practice Location Address:

7008 AUGUSTA NATIONAL
FAYETTEVILLE, PA
17222-9418

Practice Phone: 717-401-0539
Practice Fax:

Directions to “SOUTH MOUNTAIN VOLUNTEER FIRE COMPANY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.