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BURHOLME FIRST AID CORPS INC. NPI 1679576680


NPI Information

NPI: 1679576680
Provider Name: BURHOLME FIRST AID CORPS, INC.

Doing Business As: BURHOLME EMERGENCY MEDICAL SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 39D1069416

Address:
830 BLEIGH AVE
PHILADELPHIA, PA
ZIP 19111
Phone: (215) 725-4030
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BURHOLME FIRST AID CORPS, INC. is a land transport ambulance in Philadelphia, PA. BURHOLME FIRST AID CORPS, INC. NPI is 1679576680. The provider is registered as an organization entity type.
The provider Is Doing Business As Burholme Emergency Medical Service.

The provider's business location address is:

830 BLEIGH AVE
PHILADELPHIA, PA
ZIP 19111-016
Phone: (215) 725-4030
Fax: (215) 745-3997

The provider's authorized official is Carole H Farley .
The authorized official title is Office Manager and has the following contact phone number (215) 725-4030.

The CLIA number assigned to this NPI record is 39D1069416 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 5/24/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand Transport03330PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001561803MEDICAIDPENNSYLVANIA
21005094OTHERPENNSYLVANIAKEYSTONE MERCY
30000130000OTHERPENNSYLVANIAKEYSTONE HEALTH PLAN EAST
40016408OTHERPENNSYLVANIAAETNA US HEALTHCARE
50062672000OTHERPENNSYLVANIABLUE CROSS PERSONAL CHOIC
6280082MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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