{
"Npi": {
"NPI": "1710085485",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SOUTHERN CHESTER EMS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "100 W COMMONS BLVD",
"SecondLineMailingAddress": "SUITE 210",
"MailingAddressCityName": "NEW CASTLE",
"MailingAddressStateName": "DE",
"MailingAddressPostalCode": "19720-2400",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "800-697-5147",
"MailingAddressFaxNumber": "888-456-3155",
"FirstLinePracticeLocationAddress": "1015 WEST BALTIMORE PIKE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WEST GROVE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19390",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "610-910-3180",
"PracticeLocationAddressFaxNumber": "610-869-1333",
"EnumerationDate": "09/20/2006",
"LastUpdateDate": "11/06/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOTCHKISS",
"AuthorizedOfficialFirstName": "ROBERT",
"AuthorizedOfficialMiddleName": "AFTON",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "610-910-3180",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "341600000X",
"TaxonomyName": "Ambulance",
"LicenseNumber": "03236",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}