Active NPI
The Boothwyn Fire Company No 1
- Land Ambulance
- Upper Chichester, PA
National Provider Identifier
1639146590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 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
- Carl Smith
- Title
- EMS Director
- Phone
- (484) 477-2496
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001426080002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050614000522 | PA | Part B Supplier - Ambulance Service Supplier | 4486698172 | Practice locations: Upper Chichester, 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 |
|---|---|---|---|
| 39D2140641 | Boothwyn Fire Company No 1 - EMS | Certificate of waiver | Nov 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.