Organization
AMBIVAN MEDICAL TRANSPORTATION SERVICE INC.
Active
Other names
Ambivan
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY HAINSWORTH EMT (PRESIDENT)
(856) 541-1500
Entity
Organization
Contact information
Practice address
1492 HADDON AVE., CAMDEN, NJ 08103-3121
(856) 541-1500
(856) 541-1494
Mailing address
PO BOX 51, AUDUBON, NJ 08106-0051
(856) 541-1500
(856) 541-1494
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
AMBI00034
NJ
3416L0300X
Land Ambulance
AMBI00034
NJ
343800000X
Secured Medical Transport (VAN)
AMBI00034
NJ
343900000X
Non-emergency Medical Transport (VAN)
AMBI00034
NJ
344600000X
Taxi
—
—
347E00000X
Transportation Broker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2922606
—
NJ
Enumeration date
03/23/2007
Last updated
09/11/2025
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