Healthcare Provider Details

I. General information

NPI: 1881691731
Provider Name (Legal Business Name): SALUD MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6445 RISING SUN AVE
PHILADELPHIA PA
19111-5228
US

IV. Provider business mailing address

6445 RISING SUN AVE
PHILADELPHIA PA
19111-5228
US

V. Phone/Fax

Practice location:
  • Phone: 215-742-7889
  • Fax: 215-742-6199
Mailing address:
  • Phone: 215-742-7889
  • Fax: 215-742-6199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberSAL03103
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number00054
License Number StatePA

VIII. Authorized Official

Name: MR. DAVE MOSKO
Title or Position: COO
Credential: RN
Phone: 215-742-7889