Healthcare Provider Details

I. General information

NPI: 1639146590
Provider Name (Legal Business Name): THE BOOTHWYN FIRE COMPANY NO 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 NAAMANS CREEK RD
UPPER CHICHESTER PA
19061-2405
US

IV. Provider business mailing address

PO BOX 2417
BOOTHWYN PA
19061-8417
US

V. Phone/Fax

Practice location:
  • Phone: 610-485-0269
  • Fax: 717-464-9775
Mailing address:
  • Phone: 717-572-1321
  • Fax: 717-464-9775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: CARL SMITH
Title or Position: EMS DIRECTOR
Credential:
Phone: 484-477-2496