Organization Active NPI

The Boothwyn Fire Company No 1

  • Land Ambulance
  • Upper Chichester, PA
National Provider Identifier
1639146590
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
THE BOOTHWYN FIRE COMPANY NO 1
Practice address
4300 Naamans Creek Rd
Upper Chichester, PA 19061-2405
Phone
(610) 485-0269
Fax
(717) 464-9775
NPI assigned
Feb 28, 2006
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Carl Smith
Title
EMS Director
Phone
(484) 477-2496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

4300 Naamans Creek Rd
Upper Chichester, PA 19061-2405

Mailing address

PO Box 2417
Boothwyn, PA 19061-8417
Phone (717) 572-1321

Other identifiers 1

IdentifierTypeStateIssuer
001426080002MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050614000522 PA Part B Supplier - Ambulance Service Supplier 4486698172 Practice locations: Upper Chichester, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2140641Boothwyn Fire Company No 1 - EMS4300 Naamans Creek Rd, Upper Chichester, PA 19061Certificate of waiverNov 27, 2027

National Provider Directory

National Provider Directory

Locations

1405 Meetinghouse Rd
Upper Chichester, PA 19061
Phone (610) 485-8366

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1639146590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2417",
            "city": "BOOTHWYN",
            "state": "PA",
            "postal_code": "190618417",
            "telephone_number": "717-572-1321",
            "fax_number": "717-464-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 NAAMANS CREEK RD",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190612405",
            "telephone_number": "610-485-0269",
            "fax_number": "717-464-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BOOTHWYN FIRE COMPANY NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "484-477-2496"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001426080002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Chichester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.

Verify at the official NPI Registry.