Active NPI
Paoli Fire Co
- Land Ambulance
- Paoli, PA
National Provider Identifier
1669593406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 02016
- Legal business name
- PAOLI FIRE CO
- Practice address
- 69 Darby Rd
Paoli, PA 19301 - Phone
- (610) 644-1712
- NPI assigned
- Apr 2, 2007
- Last updated
- Jan 13, 2026
- 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
- Jessica Baker
- Title
- Business Manager
- Phone
- (610) 644-8591
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 02016 | PA | Primary |
Addresses
Primary practice location
69 Darby Rd
Paoli, PA 19301
Mailing address
PO Box 535
Baldwinsville, NY 13027-0535
Phone (800) 927-5845
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012341580001 | Medicaid | PA | |
| 590003039 | Other | PA | PALMETTO GBA-RR MEDICARE |
| 216482 | Other | PA | MEDICARE PTAN |
Other names 1
- Paoli Fire Company
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040903000868 | PA | Part B Supplier - Ambulance Service Supplier | 0345216008 | Practice locations: Paoli, 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 |
|---|---|---|---|
| 39D2162695 | Paoli Fire Company | Certificate of waiver | Feb 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
69 Darby Rd
Paoli, PA 19301
Phone (610) 644-1712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768262400000",
"number": "1669593406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 535",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130270535",
"telephone_number": "800-927-5845",
"fax_number": "315-635-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 DARBY RD",
"city": "PAOLI",
"state": "PA",
"postal_code": "19301",
"telephone_number": "610-644-1712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAOLI FIRE CO",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-02",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "610-644-8591"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "02016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012341580001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA-RR MEDICARE",
"identifier": "590003039",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "216482",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Paoli Fire Company",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Paoli, PA
- Paoli Apothecary LLC (Strarr Pharmacy Services Inc d/b/a Paoli Apothecary)
- Paoli Chiropractic Group, LLC
- Paoli Dental Arts, LLC
- Paoli Family Dentistry LLC
- Paoli Family Medicine
- Paoli Hematology-Oncology Associates PC
- Paoli Internal Medicine Associates PC
- Paoli Medical Consultants LLC
- Paoli Pediatrics PC
- Paoli Pharmacy Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.