Organization
KENNETT FIRE COMPANY NUMBER 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW R EICK (EMS CAPTAIN)
(610) 972-6175
Entity
Organization
Contact information
Practice address
301 DALMATIAN ST, KENNETT SQUARE, PA 19348-3804
(610) 444-4810
Mailing address
301 DALMATIAN STREET, KENNETT SQUARE, PA 19348-3804
(610) 444-4810
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03286
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007005460001
—
PA
Enumeration date
05/17/2007
Last updated
09/24/2007
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