Kennett Fire Company Number 1

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03286 Issued in PA

Legal business name

KENNETT FIRE COMPANY NUMBER 1

Practice address

301 Dalmatian St
Kennett Square, PA 19348-3804

Phone

(610) 444-4810

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Matthew R Eick

Title

EMS Captain

Phone

(610) 972-6175

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1295942191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 DALMATIAN STREET",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483804",
            "telephone_number": "610-444-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 DALMATIAN ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483804",
            "telephone_number": "610-444-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETT FIRE COMPANY NUMBER 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "EICK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EMS CAPTAIN",
        "authorized_official_telephone_number": "610-972-6175"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007005460001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennett Chiropractic Center PA
• Kennett Consolidated School District
• Kennett Counseling, LLC
• Kennett Dental Associates, PC
• Kennett Endodontics, PC
• Kennett Square Chiropractic and Rehabilitation, P.C.
• Kennett Square Eye Care LLC
• Kennett Square Family Dentistry, LLC
• Kennett Square Periodontics, PC
• Janice Lawrence Ketcham, MA, CAADC, LPC

• Land Ambulance in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.