Healthcare Provider Details

I. General information

NPI: 1043296288
Provider Name (Legal Business Name): MED EXPRESS AMBULANCE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2005
Last Update Date: 02/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306-10 UNITY STREET
PHILADELPHIA PA
19124-3918
US

IV. Provider business mailing address

1306-10 UNITY STREET
PHILADELPHIA PA
19124-3918
US

V. Phone/Fax

Practice location:
  • Phone: 215-342-3111
  • Fax: 215-744-8067
Mailing address:
  • Phone: 215-342-3111
  • Fax: 215-744-8067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number02282
License Number StatePA

VIII. Authorized Official

Name: MR. JOSEPH M FISHER
Title or Position: PRESIDENT
Credential:
Phone: 215-342-3111