Healthcare Provider Details

I. General information

NPI: 1831320936
Provider Name (Legal Business Name): MED-TEC TRANSPORT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 08/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 NORTH BETHLEHEM PIKE
SPRING HOUSE PA
19477-0737
US

IV. Provider business mailing address

805 N BETHLEHEM PIKE
SPRING HOUSE PA
19477-0737
US

V. Phone/Fax

Practice location:
  • Phone: 267-237-2153
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: VITALY RUSCHAK
Title or Position: PRESIDENT
Credential:
Phone: 267-237-2153