Organization
RESCUE TECH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NZINGHA AISHA GOODE (BILLING REPRESENTATIVE)
(215) 396-7884
Entity
Organization
Contact information
Practice address
465A VEIT RD, HUNTINGDON VALLEY, PA 19006-1617
(215) 396-7884
(215) 396-7758
Mailing address
465A VEIT RD, HUNTINGDON VALLEY, PA 19006-1617
(215) 396-7884
(215) 396-7758
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04071
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000251000
BLUE CROSS BLUE SHIELD
PA
05
—
0019451130004
—
PA
01
—
30006815
KEYSTONE MERCY
PA
Enumeration date
07/18/2006
Last updated
11/14/2013
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