| Organization Name: | PENN CHOICE AMBULANCE INC |
| NPI Number: | 1053634634 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNA MUDROVA (PRESIDENT) |
| Mailing Address: | 3907 Hartzdale Drive Suite 708 Camp Hill |
| State: | PA US |
| Postal Code: | 170117835 |
| Phone Number: | 7175259656 |
| Fax Number: | 2159335303 |
| NPI Enumeration Date: | 03/10/2010 |
| NPI Last Update Date: | 03/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 09014 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |