Provider Demographics
NPI:1639195829
Name:NEWTOWN AMERICAN LEGION AMBULANCE SQUAD
Entity Type:Organization
Organization Name:NEWTOWN AMERICAN LEGION AMBULANCE SQUAD
Other - Org Name:NEWTOWN AMBULANCE SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SWERK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-968-3500
Mailing Address - Street 1:2651 S EAGLE RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1569
Mailing Address - Country:US
Mailing Address - Phone:215-968-3500
Mailing Address - Fax:215-968-9134
Practice Address - Street 1:2651 S EAGLE RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1569
Practice Address - Country:US
Practice Address - Phone:215-968-3500
Practice Address - Fax:215-968-9134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05229341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018124300002Medicaid
PA0018124300002Medicaid