MEDICARE: NEWTOWN SQUARE FIRE CO AMB

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	06129	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	281274	OTHER		MEDICARE HGSA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0003362	OTHER	AETNA USHC GREENSBORO COM
2	0003362	OTHER	AETNA USHC BLUE BELL HMO
3	0033258000	OTHER	KEYSTONE HP EAST HMO MDC
4	24342	OTHER	HEALTH PARTNERS HMO DPA
6	0033258000	OTHER	KEYSTONE HP EAST COMMER
7	833890	OTHER	UMWA HEALTH & RETIREMENT
8	281274	OTHER	BC BS OF PA BLUE SHIELD
9	0003362	OTHER	AETNA HEALTH PLANS M
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	1000397	OTHER	KEYSTONE MERCY HMO DPA

General Provider Information

NPI Number	:	1710973789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWTOWN SQUARE FIRE CO AMB

Provider Business Mailing Address
First Line	:	PO BOX 182
Second Line	:
City	:	BRYN MAWR
State	:	PA
Zip	:	19010-0182
Country	:	US
Telephone Number	:	717-464-0724
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 N NEWTOWN SQUARE RD
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073
Country	:	US
Telephone Number	:	610-356-9916
Fax Number	:	610-356-9517

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT W BLITHE
Credential	:
Telephone Number	:	610-356-9916

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	08/22/2020

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Directions to “NEWTOWN SQUARE FIRE CO AMB ” Practice Location

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