Healthcare Provider Details

I. General information

NPI: 1841244845
Provider Name (Legal Business Name): MEDHEALTH AMBULANCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2705 BLACK LAKE PL STE 300
PHILADELPHIA PA
19154-1010
US

IV. Provider business mailing address

PO BOX 5
PALMYRA NJ
08065-0005
US

V. Phone/Fax

Practice location:
  • Phone: 888-363-4900
  • Fax: 215-676-0665
Mailing address:
  • Phone: 888-363-4900
  • Fax: 215-676-0665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNJ

VIII. Authorized Official

Name: MR. JEFFREY STEZEN
Title or Position: CEO
Credential:
Phone: 888-363-4900