East Whiteland Township Fire Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05228 Issued in PA

Legal business name

EAST WHITELAND TOWNSHIP FIRE ASSOCIATION

Practice address

205 Conestoga Rd
Malvern, PA 19355-1633

Phone

(610) 644-8558

Fax

(610) 644-8308

NPI assigned

Apr 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gary Sheridan

Title

President

Phone

(610) 644-8558

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1043331895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "17070",
            "telephone_number": "717-214-7224",
            "fax_number": "717-214-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CONESTOGA RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551633",
            "telephone_number": "610-644-8558",
            "fax_number": "610-644-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WHITELAND TOWNSHIP FIRE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "SHERIDAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-644-8558",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "00077",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014246260004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ali Ibrahim El-Kerdi, PHD, PT, ATC
• Courtney Rosaire Elgindy, CRNP

• Land Ambulance in Malvern, PA
• Providers in Malvern, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.