| Organization Name: | CARDIAC CARE AMBULANCE, INC. |
| NPI Number: | 1013159078 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ZAHAR TKACH (PRESIDENT) |
| Mailing Address: | 549 Foundry Rd Norristown |
| State: | PA US |
| Postal Code: | 194033901 |
| Phone Number: | 2672825252 |
| Fax Number: | |
| NPI Enumeration Date: | 04/06/2009 |
| NPI Last Update Date: | 04/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | C2212024 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |