MEDICARE: PROVIDER 1 HEALTH - EMERGENCY MEDICAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance
2	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1316839392
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROVIDER 1 HEALTH - EMERGENCY MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	2619 W CHESTER PIKE FL 2
Second Line	:
City	:	BROOMALL
State	:	PA
Zip	:	19008-1943
Country	:	US
Telephone Number	:	215-804-9504
Fax Number	:	336-791-0196

Provider Business Practice Location Address
First Line	:	2619 W CHESTER PIKE FL 2
Second Line	:
City	:	BROOMALL
State	:	PA
Zip	:	19008-1943
Country	:	US
Telephone Number	:	215-804-9504
Fax Number	:	336-791-0196

Authorized Official
Title or Position	:	CO-FOUNDER/CEO
Name	:	JONATHAN STEWART
Credential	:
Telephone Number	:	215-804-9504

Provider Enumeration Date	:	07/16/2025
Last Update Date	:	04/07/2026

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