Organization
PRO MEDIC AMBULANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VOLODYMIR GREGORY MATKIVSKI (MANAGER)
(267) 262-0068
Entity
Organization
Contact information
Practice address
207 BUCK RD, UNIT 4, HOLLAND, PA 18966-1700
(267) 262-0068
Mailing address
207 BUCK RD, UNIT 4, HOLLAND, PA 18966-1700
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
11047
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102658319
—
PA
Enumeration date
10/12/2011
Last updated
06/10/2014
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