MEDICARE: BERWYN HEIGHTS VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC.

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

General Provider Information

NPI Number	:	1346370343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERWYN HEIGHTS VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC.

Provider Business Mailing Address
First Line	:	PO BOX 726
Second Line	:
City	:	NEW CUMBERLAND
State	:	PA
Zip	:	17070-0726
Country	:	US
Telephone Number	:	717-214-6018
Fax Number	:	717-214-6020

Provider Business Practice Location Address
First Line	:	8811 60TH AVE
Second Line	:
City	:	BERWYN HEIGHTS
State	:	MD
Zip	:	20740-2303
Country	:	US
Telephone Number	:	301-474-5587
Fax Number	:	301-220-2476

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES WARD
Credential	:
Telephone Number	:	240-535-8197

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	08/22/2020

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