Provider Demographics
NPI:1639146590
Name:THE BOOTHWYN FIRE COMPANY NO 1
Entity type:Organization
Organization Name:THE BOOTHWYN FIRE COMPANY NO 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-477-2496
Mailing Address - Street 1:PO BOX 2417
Mailing Address - Street 2:
Mailing Address - City:BOOTHWYN
Mailing Address - State:PA
Mailing Address - Zip Code:19061-8417
Mailing Address - Country:US
Mailing Address - Phone:717-572-1321
Mailing Address - Fax:717-464-9775
Practice Address - Street 1:4300 NAAMANS CREEK RD
Practice Address - Street 2:
Practice Address - City:UPPER CHICHESTER
Practice Address - State:PA
Practice Address - Zip Code:19061-2405
Practice Address - Country:US
Practice Address - Phone:610-485-0269
Practice Address - Fax:610-485-9548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001426080002Medicaid
PA200831Medicare ID - Type Unspecified