Healthcare Provider Details

I. General information

NPI: 1326331455
Provider Name (Legal Business Name): RESPECT AMBULANCE COMPANY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2011
Last Update Date: 05/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1993 HUMMEL AVE SUITE 100
CAMP HILL PA
17011-5922
US

IV. Provider business mailing address

1993 HUMMEL AVE SUITE 100
CAMP HILL PA
17011-5922
US

V. Phone/Fax

Practice location:
  • Phone: 717-412-7965
  • Fax: 717-412-7861
Mailing address:
  • Phone: 717-412-7965
  • Fax: 717-412-7861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StatePA

VIII. Authorized Official

Name: MS. FRAN MUNCY
Title or Position: RN DIRECTOR
Credential: RN
Phone: 717-412-7965