1346555901 NPI number — SAVE A LIFE MEDICAL TRANSPORTATION INC

Table of content: (NPI 1346555901)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346555901 NPI number — SAVE A LIFE MEDICAL TRANSPORTATION INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAVE A LIFE MEDICAL TRANSPORTATION INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346555901
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/27/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 18187
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19116-0187
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
267-401-4547
Provider Business Mailing Address Fax Number:
215-904-6443

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
111 BUCK RD
Provider Second Line Business Practice Location Address:
UNIT 600 SUITE 4
Provider Business Practice Location Address City Name:
HUNTINGDON VALLEY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19006-1544
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
267-401-4547
Provider Business Practice Location Address Fax Number:
215-904-6443
Provider Enumeration Date:
08/07/2010

Additional Information

Authorized Official

Authorized Official Last Name:
DHANDA
Authorized Official First Name:
VISHAL
Authorized Official Middle Name:
KUMAR
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
267-401-4547

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  11001 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 199262 . This is a "MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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