Healthcare Provider Details

I. General information

NPI: 1639157985
Provider Name (Legal Business Name): AMERICAN PATRIOT AMBULANCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13430 DAMAR DR
PHILADELPHIA PA
19116-1801
US

IV. Provider business mailing address

PO BOX 51303
PHILADELPHIA PA
19115-6303
US

V. Phone/Fax

Practice location:
  • Phone: 215-677-7800
  • Fax: 215-677-7801
Mailing address:
  • Phone: 215-677-7800
  • Fax: 215-677-7801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number04072
License Number StatePA

VIII. Authorized Official

Name: MR. ADI KRONFELD
Title or Position: PRESIDENT
Credential:
Phone: 215-677-7800