Healthcare Provider Details

I. General information

NPI: 1205812823
Provider Name (Legal Business Name): COMMUNITY AMBULANCE ASSOCIATION OF AMBLER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 03/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 E BUTLER PIKE
AMBLER PA
19002-3764
US

IV. Provider business mailing address

PO BOX 98 1414 E BUTLER PIKE
AMBLER PA
19002
US

V. Phone/Fax

Practice location:
  • Phone: 215-643-6517
  • Fax: 215-643-5212
Mailing address:
  • Phone: 215-643-6517
  • Fax: 215-643-5212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number03146
License Number StatePA

VIII. Authorized Official

Name: DOROTHY A ENGLE
Title or Position: BILLING SERVICES
Credential:
Phone: 215-643-6517