Organization Active NPI

Professional Providers Inc

  • Land Ambulance
  • West Chester, PA
National Provider Identifier
1831189133
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03102 Issued in PA
Legal business name
PROFESSIONAL PROVIDERS INC
Practice address
701 E Marshall St
West Chester, PA 19380-4412
Phone
(610) 431-5558
NPI assigned
Oct 27, 2005
Organization subpart
Yes
Parent organization
PROFESSIONAL PROVIDERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Daniel C Roth
Title
Billing
Phone
(717) 464-0724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 03102 PA Primary

Addresses

Primary practice location

701 E Marshall St
West Chester, PA 19380-4412

Mailing address

PO Box 329
Willow Street, PA 17584-0329
Phone (717) 464-0724

Other identifiers 1

IdentifierTypeStateIssuer
0018759770007MedicaidPA

Other names 1

  • CHESTER COUNTY MEDIC 91 Doing business as

National Provider Directory

National Provider Directory
Part of
Professional Providers

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1831189133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175840329",
            "telephone_number": "717-464-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E MARSHALL ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804412",
            "telephone_number": "610-431-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PROVIDERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL PROVIDERS INC",
        "enumeration_date": "2005-10-27",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "717-464-0724"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018759770007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHESTER COUNTY MEDIC 91",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.