| Organization Name: | OMEGA AMBULANCE, INC |
| NPI Number: | 1043647902 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VOLODIMYR MATKIVSKI (PRESIDENT) |
| Mailing Address: | 207 Buck Rd Ste 4 Southampton |
| State: | PA US |
| Postal Code: | 189661700 |
| Phone Number: | 2672620068 |
| Fax Number: | 2154941970 |
| NPI Enumeration Date: | 10/08/2013 |
| NPI Last Update Date: | 10/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 13019 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |