Organization
STAT ONE AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN D WHITE (OWNER)
(800) 825-4182
Entity
Organization
Contact information
Practice address
99 CHESTER PIKE, DARBY, PA 19023-2035
(800) 825-4182
Mailing address
6148 REACH ST, PHILADELPHIA, PA 19111-5926
(800) 825-4182
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
11019
PA
Other
Enumeration date
11/25/2011
Last updated
11/25/2011
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