Organization
MEDEX AMBULANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX ZAGORODNY (PRESIDENT)
(215) 355-3636
Entity
Organization
Contact information
Practice address
341 PHILMONT AVE, SHOP 2 AND 3, FEASTERVILLE TREVOSE, PA 19053-6406
(215) 355-3636
Mailing address
PO BOX 14589, PHILADELPHIA, PA 19115-0589
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
04234
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001767000
BLUE CROSS BLUE SHIELD
PA
05
—
1011890820001
—
PA
01
—
36169
HEALTH PARTNERS
PA
Enumeration date
01/08/2007
Last updated
08/22/2020
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