Healthcare Provider Details

I. General information

NPI: 1396770137
Provider Name (Legal Business Name): DNA AMBULANCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8351 HEGERMAN ST
PHILADELPHIA PA
19136
US

IV. Provider business mailing address

PO BOX 63416
PHILADELPHIA PA
19114-8416
US

V. Phone/Fax

Practice location:
  • Phone: 215-331-8800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number06100
License Number StatePA

VIII. Authorized Official

Name: MS. MARIANNA ARAKELOVA
Title or Position: CEO
Credential:
Phone: 215-331-8800