Healthcare Provider Details

I. General information

NPI: 1972525863
Provider Name (Legal Business Name): TINICUM TOWNSHIP FIRE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 WANAMAKER AVE
ESSINGTON PA
19029-1424
US

IV. Provider business mailing address

99 WANAMAKER AVE P.O. BOX 128
ESSINGTON PA
19029-1424
US

V. Phone/Fax

Practice location:
  • Phone: 610-322-5948
  • Fax: 866-731-3370
Mailing address:
  • Phone: 610-322-5948
  • Fax: 866-731-3370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number2301307
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: AARON RICHARD POWLEY
Title or Position: EMS CAPTAIN
Credential:
Phone: 610-521-3388