=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346547247
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RHYTHM AMBULANCE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/12/2011
-----------------------------------------------------
Last Update Date | 12/08/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 309 CAMER DR UNIT 3
-----------------------------------------------------
City | BENSALEM
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19020-7323
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-638-1713
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 296 NANDINA ST
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19116-3235
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | OKSANA KOZLOVA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 215-485-8018
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number | 11008
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------