Healthcare Provider Details

I. General information

NPI: 1053526020
Provider Name (Legal Business Name): ULTIMATE MEDICAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2007
Last Update Date: 08/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 VALLEY LN
ANNVILLE PA
17003-8876
US

IV. Provider business mailing address

10 VALLEY LN
ANNVILLE PA
17003-8876
US

V. Phone/Fax

Practice location:
  • Phone: 717-274-3093
  • Fax: 717-274-9876
Mailing address:
  • Phone: 717-274-3093
  • Fax: 717-274-9876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MS. EVA MARIE THORNTON
Title or Position: PRES.
Credential: LPN
Phone: 717-274-3093