Provider Demographics
NPI:1154365344
Name:BRYN ATHYN FIRE CO
Entity type:Organization
Organization Name:BRYN ATHYN FIRE CO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SCHAUDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-947-1100
Mailing Address - Street 1:PO BOX 599
Mailing Address - Street 2:2815 BUCK ROAD
Mailing Address - City:BRYN ATHYN
Mailing Address - State:PA
Mailing Address - Zip Code:19009-0599
Mailing Address - Country:US
Mailing Address - Phone:215-947-1100
Mailing Address - Fax:215-947-7476
Practice Address - Street 1:2815 BUCK RD
Practice Address - Street 2:
Practice Address - City:BRYN ATHYN
Practice Address - State:PA
Practice Address - Zip Code:19009
Practice Address - Country:US
Practice Address - Phone:215-947-1100
Practice Address - Fax:215-947-7476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05244341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance