MEDICARE: ALL HEART MEDICAL TRANSPORT, INC.

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	04235	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457336364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL HEART MEDICAL TRANSPORT, INC.

Provider Business Mailing Address
First Line	:	PO BOX 3668
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19125-0668
Country	:	US
Telephone Number	:	215-634-1414
Fax Number	:	215-634-1422

Provider Business Practice Location Address
First Line	:	1621 NO DELAWARE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-2544
Country	:	US
Telephone Number	:	215-634-1414
Fax Number	:	215-634-1422

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KEVIN CARR
Credential	:
Telephone Number	:	215-235-1314

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	01/11/2008

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Directions to “ALL HEART MEDICAL TRANSPORT, INC. ” Practice Location

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