Organization Name: | FAMILY MEDICAL TRANSPORT INC. |
NPI Number: | 1003198003 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA ANN SHELTON (PRESIDENT) |
Mailing Address: | 141 E Glenside Ave Glenside |
State: | PA US |
Postal Code: | 190384602 |
Phone Number: | 2158841718 |
Fax Number: | 2158861916 |
NPI Enumeration Date: | 09/15/2011 |
NPI Last Update Date: | 09/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 11074 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |