Organization
PRIMESTAR AMBULANCE INC
Active
Organization
PRIMESTAR AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ISHEEMAH BURTON (PRESIDENT)
(215) 947-7100
Entity
Organization
Contact information
Practice address
2337 PHILMONT AVE, SUITE 99, HUNTINGDON VALLEY, PA 19006-6200
(215) 947-7100
(215) 947-7101
Mailing address
PO BOX 114, HUNTINGDON VALLEY, PA 19006-0114
(215) 947-7100
(215) 947-7101
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
11055
PA
Other
Enumeration date
12/17/2011
Last updated
12/17/2011
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