Organization
RADNOR FIRE COMPANY OF WAYNE
Active
Organization
RADNOR FIRE COMPANY OF WAYNE
Active
Other names
Radnor Fire Company Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J. KELLY JR. (PRESIDENT)
(610) 687-3245
Entity
Organization
Contact information
Practice address
121 S WAYNE AVE, WAYNE, PA 19087-4116
(610) 687-3245
(610) 687-8849
Mailing address
PO BOX 31, WAYNE, PA 19087-0031
(610) 687-3245
(610) 687-8849
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012916190002
—
PA
01
—
590009640
RAILROAD MEDICARE
—
Enumeration date
12/06/2006
Last updated
10/13/2023
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