Healthcare Provider Details

I. General information

NPI: 1457632317
Provider Name (Legal Business Name): PCA EMSTAR HOLDINGS, L.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2011
Last Update Date: 02/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 GEIGER RD
PHILADELPHIA PA
19115-1015
US

IV. Provider business mailing address

PO BOX 52758
PHILADELPHIA PA
19115-7758
US

V. Phone/Fax

Practice location:
  • Phone: 215-764-8800
  • Fax: 215-827-5958
Mailing address:
  • Phone: 215-764-8800
  • Fax: 215-827-5958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number11040
License Number StatePA

VIII. Authorized Official

Name: MR. BRIAN ROWE
Title or Position: FINANCIAL OPERATIONS MANAGER
Credential:
Phone: 215-764-8801