Organization
EMERGENCY TRANSPORT ASSOCIATES INC
Active
Other names
JeffSTAT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SWEENEY (VICE PRESIDENT, CLINICAL / SUPPORT)
(215) 955-7937
Entity
Organization
Contact information
Practice address
111 S 11TH ST, SUITE 2130, PHILADELPHIA, PA 19107-4824
(215) 955-2700
Mailing address
PO BOX 8500-51695, PHILADELPHIA, PA 19178-0001
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04295
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000174000
AMBULANCE
PA
01
—
0132431
UNITEDHEALTHCARE/AMBULANC
PA
01
—
0173974101
AMBULANCE
PA
01
—
07906
AMBULANCE
PA
01
—
0923304
AMBULANCE
PA
05
—
1000036041
—
DE
05
—
1007573720003
—
PA
01
—
1058452
AMBULANCE
PA
01
—
214993
AMBULANCE
PA
05
—
8276307
—
NJ
05
—
A1128283
—
PA
01
—
AN94696220002
AMBULANCE
PA
05
—
PENDING
—
NY
Enumeration date
06/29/2006
Last updated
09/28/2012
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