Organization Active NPI

Valley Forge Volunteer Fire Company

Doing business as West End Fire Company Number 3

  • Land Ambulance
  • Phoenixville, PA
National Provider Identifier
1114417102
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
16042 Issued in PA
Legal business name
VALLEY FORGE VOLUNTEER FIRE COMPANY
Doing business as
West End Fire Company Number 3
Practice address
801 W Bridge St
Phoenixville, PA 19460-4214
Phone
(610) 935-9930
Fax
(717) 464-9775
NPI assigned
May 15, 2018
Last updated
Sep 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Kimbel Colket
Title
Treasurer
Phone
(610) 935-9930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 16042 PA Primary

Addresses

Primary practice location

801 W Bridge St
Phoenixville, PA 19460-4214

Mailing address

PO Box 329
Willow Street, PA 17584-0329
Phone (717) 464-0724

Other practice location 1

630 Valley Park Rd
Phoenixville, PA 19460-5753
Phone (610) 935-9930

Other identifiers 1

IdentifierTypeStateIssuer
1035238780001MedicaidPA

Other names 1

  • West End Fire Company Number 3 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@westend67.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180626000533 PA Part B Supplier - Ambulance Service Supplier 5496000804 Practice locations: Phoenixville, PA

National Provider Directory

National Provider Directory

Locations

630 Valley Park Rd
Phoenixville, PA 19460
Phone (610) 935-9930

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1114417102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175840329",
            "telephone_number": "717-464-0724",
            "fax_number": "717-464-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BRIDGE ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604214",
            "telephone_number": "610-935-9930",
            "fax_number": "717-464-9775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Valley Park Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "194605753",
            "country_code": "US",
            "telephone_number": "610-935-9930",
            "fax_number": "717-464-9775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY FORGE VOLUNTEER FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "COLKET",
        "authorized_official_first_name": "KIMBEL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "610-935-9930"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "16042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035238780001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@westend67.com",
            "affiliation": "N",
            "address_1": "801 W Bridge St",
            "city": "Phoenixville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194604214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "West End Fire Company Number 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.