Active NPI
Malvern Fire Company
- Land Ambulance
- Malvern, PA
National Provider Identifier
1467450270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 04181
- Legal business name
- MALVERN FIRE COMPANY
- Practice address
- 424 E King St
Malvern, PA 19355-3004 - Phone
- (610) 647-0693
- Fax
- (610) 647-0249
- NPI assigned
- Jul 14, 2005
- Last updated
- Aug 22, 2020
- 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
- Betty Thomas
- Title
- Ambulance Secretary
- Phone
- (610) 647-0693
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 04181 | PA | Primary |
Addresses
Primary practice location
424 E King St
Malvern, PA 19355-3004
Mailing address
PO Box 726
New Cumberland, PA 17070-0726
Phone (717) 214-6018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120126000188 | PA | Part B Supplier - Ambulance Service Supplier | 3577730969 | Practice locations: Malvern, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2136712 | Malvern Fire Company | Certificate of waiver | Sep 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
424 E King St
Malvern, PA 19355
Phone (215) 644-0215
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Acute Care Nurse Practitioner
- Paoli, PA
- NPI 1336809409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467450270",
"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": "170700726",
"telephone_number": "717-214-6018",
"fax_number": "717-214-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 E KING ST",
"city": "MALVERN",
"state": "PA",
"postal_code": "193553004",
"telephone_number": "610-647-0693",
"fax_number": "610-647-0249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MALVERN FIRE COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "BETTY",
"authorized_official_title_or_position": "AMBULANCE SECRETARY",
"authorized_official_telephone_number": "610-647-0693"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "04181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, PA
- Main Line Home Care Services LLC
- Main Line Hospitals, Inc. (Bryn Mawr Rehabilitation Hospital)
- Main Line Neuropsychology, PLLC
- Main Line PA Endoscopy ASC LP (Main Line Endoscopy Center Malvern)
- Malvern Endoscopy Center LLC
- Malvern Institute for Psychiatric and Alcoholic Studies, Inc.
- Sean Benjamin Mandel, D.C.
- Mithra Maneyapanda, M.D.
- Richard Mangano, M.A.
- Wendy S Manko, DO
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.