Active NPI
Professional Providers Inc
- Land Ambulance
- West Chester, PA
National Provider Identifier
1831189133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 03102
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018759770007 | Medicaid | PA |
Other names 1
- CHESTER COUNTY MEDIC 91
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.