Organization
PHILADELPHIA AMBULANCE
Active
Other names
Ameriheart Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS LEVENZON (VICE PRESIDENT)
(215) 676-7200
Entity
Organization
Contact information
Practice address
13440 DAMAR DR, SUITE G, PHILADELPHIA, PA 19116-1817
(215) 676-7200
(215) 676-2806
Mailing address
13440 DAMAR DR, SUITE G, PHILADELPHIA, PA 19116-1817
(215) 676-7200
(215) 676-2806
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03190
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002049000
KEYSTONE HEALTH PLAN EAST
PA
05
—
0019703770001
—
PA
05
—
0058238
—
NJ
01
—
2049
INDEP. BLUE CROSS
PA
01
—
30014238
KEYSTONE MERCY
PA
01
—
34218
HEALTHPARTNERS
PA
01
—
3427265
AETNA
PA
01
—
710200PA19116
BC/BS OF MICHIGAN
PA
01
—
P00060300
RAILROAD MEDICARE
PA
Enumeration date
07/05/2006
Last updated
08/22/2020
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