Active NPI
Valley Forge Volunteer Fire Company
Doing business as West End Fire Company Number 3
- Land Ambulance
- Phoenixville, PA
National Provider Identifier
1114417102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 16042
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1035238780001 | Medicaid | PA |
Other names 1
- West End Fire Company Number 3
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@westend67.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180626000533 | PA | Part B Supplier - Ambulance Service Supplier | 5496000804 | Practice locations: Phoenixville, PA |
National Provider Directory
National Provider DirectoryLocations
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.