Organization
PLYMOUTH COMMUNITY AMBULANCE ASSN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW M TOMCHO (BILLING MANAGER)
(610) 277-2776
Entity
Organization
Contact information
Practice address
902 GERMANTOWN PIKE, PLYMOUTH MEETING, PA 19462-7400
(610) 277-2776
(610) 277-8449
Mailing address
902 GERMANTOWN PIKE, PLYMOUTH MEETING, PA 19462-7400
(610) 277-2776
(610) 277-8449
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
46026
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008430840003
—
PA
01
—
281318
MEDICARE PTAN
PA
Enumeration date
12/29/2005
Last updated
06/02/2014
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