Provider Demographics
NPI:1710973789
Name:NEWTOWN SQUARE FIRE CO AMB
Entity Type:Organization
Organization Name:NEWTOWN SQUARE FIRE CO AMB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:BLITHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-356-9916
Mailing Address - Street 1:PO BOX 182
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-0182
Mailing Address - Country:US
Mailing Address - Phone:717-464-0724
Mailing Address - Fax:
Practice Address - Street 1:8 N NEWTOWN SQUARE RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073
Practice Address - Country:US
Practice Address - Phone:610-356-9916
Practice Address - Fax:610-356-9517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA061293416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
0003362OtherAETNA USHC GREENSBORO COM
0003362OtherAETNA USHC BLUE BELL HMO
0033258000OtherKEYSTONE HP EAST HMO MDC
24342OtherHEALTH PARTNERS HMO DPA
281274OtherMEDICARE HGSA
0033258000OtherKEYSTONE HP EAST COMMER
833890OtherUMWA HEALTH & RETIREMENT
281274OtherBC BS OF PA BLUE SHIELD
0003362OtherAETNA HEALTH PLANS M
0012966060005OtherPA MEDICAID
1000397OtherKEYSTONE MERCY HMO DPA