Provider Demographics
NPI:1497058994
Name:KIMBERTON FIRE COMPANY
Entity Type:Organization
Organization Name:KIMBERTON FIRE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:L
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-935-1388
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:61 FIREHOUSE LA
Mailing Address - City:KIMBERTON
Mailing Address - State:PA
Mailing Address - Zip Code:19442-0099
Mailing Address - Country:US
Mailing Address - Phone:610-935-1388
Mailing Address - Fax:610-935-3956
Practice Address - Street 1:61 FIREHOUSE LA
Practice Address - Street 2:
Practice Address - City:KIMBERTON
Practice Address - State:PA
Practice Address - Zip Code:19442-0099
Practice Address - Country:US
Practice Address - Phone:610-935-1388
Practice Address - Fax:610-935-3956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA15384146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Single Specialty