| Organization Name: | CAPITAL CARE AMBULANCE INC |
| NPI Number: | 1457602237 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OLHA YANISHEVSKA (PRESIDENT) |
| Mailing Address: | 2284 Sand Trap Rd Jamison |
| State: | PA US |
| Postal Code: | 189291076 |
| Phone Number: | 2152665197 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2012 |
| NPI Last Update Date: | 09/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 12043 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |