NPI Code Details Logo

NPI 1639146590

NPI 1639146590 : THE BOOTHWYN FIRE COMPANY NO 1 : UPPER CHICHESTER, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1639146590
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    THE BOOTHWYN FIRE COMPANY NO 1 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/28/2006
-----------------------------------------------------
    Last Update Date     |    08/21/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4300 NAAMANS CREEK RD 
-----------------------------------------------------
    City                 |    UPPER CHICHESTER
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    19061-2405
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    610-485-0269
-----------------------------------------------------
    Fax                  |    717-464-9775
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 2417 
-----------------------------------------------------
    City                 |    BOOTHWYN
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    19061-8417
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    717-572-1321
-----------------------------------------------------
    Fax                  |    717-464-9775
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    EMS DIRECTOR
-----------------------------------------------------
    Name                 |     CARL  SMITH 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    484-477-2496
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3416L0300X
-----------------------------------------------------
    Taxonomy Name        |    Land Ambulance
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.