Organization
EMINENT MEDICAL TRANSPORT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED C PAYLOR (PRESIDENT & CEO)
(484) 478-0001
Entity
Organization
Contact information
Practice address
61 S MORTON AVE, SUITE 4A, MORTON, PA 19070-1740
(484) 478-0001
(484) 478-8047
Mailing address
P.O. BOX 376, MEDIA, PA 19063-5419
(484) 478-0001
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
06139
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017713850001
—
PA
01
—
P00370796
RAILROAD MEDICARE
PA
Enumeration date
08/31/2006
Last updated
11/02/2012
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