Fleet Medical Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FLEET MEDICAL INC

Practice address

3206 Woodview Way
Malvern, PA 19355-3233

Phone

(610) 827-1539

Fax

(610) 941-7155

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Jeff J. Hennelly

Title

President

Phone

(610) 827-1539

Specialties & licenses 1

Addresses

Other names 1

• Valley Forge Sleep Partner's Doing business as

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093849366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LAUREN LANE",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "19425",
            "telephone_number": "610-827-1539",
            "fax_number": "610-941-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 WOODVIEW WAY",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553233",
            "telephone_number": "610-827-1539",
            "fax_number": "610-941-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEET MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENNELLY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-827-1539"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Forge Sleep Partner's",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Malvern, PA
• Providers in Malvern, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.