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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