MEDICARE: THE BOOTHWYN FIRE COMPANY NO 1

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639146590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE BOOTHWYN FIRE COMPANY NO 1

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

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

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

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	08/21/2025

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Directions to “THE BOOTHWYN FIRE COMPANY NO 1 ” Practice Location

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