Organization Name: | URGENT CARE AMBULANCE LLC |
NPI Number: | 1083930143 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORA BEDERMAN (PRESIDENT) |
Mailing Address: | 2727 Philmont Ave Suite 122 Huntingdon Valley |
State: | PA US |
Postal Code: | 190065311 |
Phone Number: | 2159380111 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2010 |
NPI Last Update Date: | 04/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 10008 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |