Organization
PREMIUM CARE MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL CHARLES (EXECUTIVE DIRECTOR)
(267) 227-9133
Entity
Organization
Contact information
Practice address
8600 W CHESTER PIKE, SUITE 306, UPPER DARBY, PA 19082-2629
(610) 446-1339
(215) 600-1228
Mailing address
8600 W CHESTER PIKE, SUITE 306, UPPER DARBY, PA 19082-2629
(610) 446-1339
(215) 600-1228
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
13009
PA
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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