Swarthmore Fire and Protective Association

Primary specialty

AmbulanceTaxonomy code 341600000X

License

05036 Issued in PA

Legal business name

SWARTHMORE FIRE AND PROTECTIVE ASSOCIATION

Practice address

121 Park Ave
Swarthmore, PA 19081

Phone

(610) 544-2732

Fax

(610) 543-4558

NPI assigned

Jan 23, 2007

Last updated

Nov 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Conlen Merryman Booth

Title

Captain

Phone

(610) 544-2732

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1700931649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1469",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190638469",
            "telephone_number": "610-532-9444",
            "fax_number": "610-565-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PARK AVE",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "19081",
            "telephone_number": "610-544-2732",
            "fax_number": "610-543-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWARTHMORE FIRE AND PROTECTIVE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "CONLEN",
        "authorized_official_middle_name": "MERRYMAN",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "610-544-2732"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "05036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017535620001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Stewart
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• Kaitlyn Nicole Truitt, OTR/L

• Ambulance in Swarthmore, PA
• Providers in Swarthmore, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.