=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588962872
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FIRST ALERT, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/10/2011
-----------------------------------------------------
Last Update Date | 03/30/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 769 PENNSYLVANIA AVE
-----------------------------------------------------
City | SOUTHAMPTON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18966-3403
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-799-6301
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 769 PENNSYLVANIA AVE
-----------------------------------------------------
City | SOUTHAMPTON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18966-3403
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-799-6301
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | YURIE BACHYNSKYY
-----------------------------------------------------
Credential | EMT
-----------------------------------------------------
Telephone | 267-799-6301
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number | 5108201
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------