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Organization
AMERICAN MEDICAL RESPONSE MID-ATLANTIC INC
Active
Organization
AMERICAN MEDICAL RESPONSE MID-ATLANTIC INC
Active
Other names
American Medical Response (AMR)
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD VAN HORNE (COO)
(303) 495-1220
Entity
Organization
Contact information
Practice address
258 D ST, CARNEYS POINT, NJ 08069-2339
(215) 629-2600
(215) 629-2689
Mailing address
PO BOX 409880, ATLANTA, GA 30384-0231
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065773
—
NJ
01
—
1083719801
TRICARE EAST
—
01
—
291016
MEDICARE PIN
—
01
—
590010377
RAILROAD
—
Enumeration date
09/14/2006
Last updated
05/10/2019
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