Healthcare Provider Details
I. General information
NPI: 1932891546
Provider Name (Legal Business Name): URBAN EMS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2023
Last Update Date: 06/16/2023
Certification Date: 06/16/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
380 RED LION RD STE 201
HUNTINGDON VALLEY PA
19006-6451
US
IV. Provider business mailing address
380 RED LION RD STE 201
HUNTINGDON VALLEY PA
19006-6451
US
V. Phone/Fax
- Phone: 267-307-3272
- Fax:
- Phone: 267-307-3272
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BOGDAN
MIROCHNIK
Title or Position: CEO
Credential:
Phone: 267-307-3272