Healthcare Provider Details

I. General information

NPI: 1548394786
Provider Name (Legal Business Name): ENDEAVOR EMERGENCY SQUAD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 RANCOCAS RD
BURLINGTON NJ
08016-3701
US

IV. Provider business mailing address

PO BOX 18533
PITTSBURGH PA
15236-0533
US

V. Phone/Fax

Practice location:
  • Phone: 609-386-8899
  • Fax:
Mailing address:
  • Phone: 800-240-6365
  • Fax: 724-234-4703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: BRIAN J EKELBURG
Title or Position: CFO
Credential:
Phone: 609-386-8899