# AMERICAN MEDICAL RESPONSE MID-ATLANTIC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** American Medical Response (AMR)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528163557
- **Authorized official:** EDWARD VAN HORNE (COO)
- **Authorized official phone:** (303) 495-1220

## Contact information

- **Practice address:** 258 D ST, CARNEYS POINT, NJ 08069-2339
- **Practice address phone:** (215) 629-2600
- **Practice address fax:** (215) 629-2689
- **Mailing address:** PO BOX 409880, ATLANTA, GA 30384-0231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 05/10/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0065773 | — | NJ |
| 01 | — | 1083719801 | TRICARE EAST | — |
| 01 | — | 291016 | MEDICARE PIN | — |
| 01 | — | 590010377 | RAILROAD | — |