Healthcare Provider Details

I. General information

NPI: 1548247455
Provider Name (Legal Business Name): KEYSTONE QUALITY TRANSPORT COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2005
Last Update Date: 04/27/2023
Certification Date: 04/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 E WOODLAND AVE SUITE 220
SPRINGFIELD PA
19064-3969
US

IV. Provider business mailing address

PO BOX 2027
MEDIA PA
19063-9027
US

V. Phone/Fax

Practice location:
  • Phone: 610-541-6610
  • Fax: 610-541-6624
Mailing address:
  • Phone: 610-541-6610
  • Fax: 610-541-6624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number23209
License Number StatePA

VIII. Authorized Official

Name: MR. DANNY PLATT
Title or Position: CEO
Credential:
Phone: 610-566-2200