Healthcare Provider Details

I. General information

NPI: 1922130855
Provider Name (Legal Business Name): UWCHLAN AMBULANCE CORPS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 08/25/2023
Certification Date: 08/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 W WELSH POOL RD
EXTON PA
19341-1222
US

IV. Provider business mailing address

70 W WELSH POOL RD
EXTON PA
19341-1222
US

V. Phone/Fax

Practice location:
  • Phone: 610-363-6575
  • Fax:
Mailing address:
  • Phone: 610-363-6575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number04105
License Number StatePA

VII. Legacy identifiers

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

# 1
Identifier103553
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerUPMC FOR YOU
# 2
Identifier20051264
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerAMERIHEALTH MERCY
# 3
Identifier1062914
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerKEYSTONE MERCY
# 4
Identifier32751
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHEALTH PAERTNERS
# 5
Identifier0012277340001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: MR. WES WEBER
Title or Position: PRESIDENT
Credential:
Phone: 610-363-1067