EMERGENCY TRANSPORT ASSOCIATES INC NPI 1700814878

NPI Information

NPI: 1700814878
Provider Name: EMERGENCY TRANSPORT ASSOCIATES INC

Doing Business As: JEFFSTAT

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 31D2083109

Address:
111 S 11TH ST
SUITE 2130
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-2700
Get Directions

EMERGENCY TRANSPORT ASSOCIATES INC is a land transport ambulance in Philadelphia, PA. EMERGENCY TRANSPORT ASSOCIATES INC NPI is 1700814878. The provider is registered as an organization entity type.
The provider Is Doing Business As Jeffstat.

The provider's business location address is:

111 S 11TH ST
SUITE 2130
PHILADELPHIA, PA
ZIP 19107-824
Phone: (215) 955-2700

The provider's authorized official is Brian Sweeney .
The authorized official title is Vice President, Clinical / Support and has the following contact phone number (215) 955-7937.

The CLIA number assigned to this NPI record is 31D2083109 - other - helicopter 24hrs /day with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 9/28/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	04295	PENNSYLVANIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0173974101	OTHER	PENNSYLVANIA	AMBULANCE
2	07906	OTHER	PENNSYLVANIA	AMBULANCE
3	1000036041	MEDICAID	DELAWARE
4	1007573720003	MEDICAID	PENNSYLVANIA
5	8276307	MEDICAID	NEW JERSEY
6	0923304	OTHER	PENNSYLVANIA	AMBULANCE
7	0132431	OTHER	PENNSYLVANIA	UNITEDHEALTHCARE/AMBULANC
8	AN94696220002	OTHER	PENNSYLVANIA	AMBULANCE
9	1058452	OTHER	PENNSYLVANIA	AMBULANCE
10	590007596	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA	RAILROAD/AMBULANCE
11	200085	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA	AMBULANCE
12	0000174000	OTHER	PENNSYLVANIA	AMBULANCE
13	214993	OTHER	PENNSYLVANIA	AMBULANCE
14	A1128283	MEDICAID	PENNSYLVANIA
15	PENDING	MEDICAID	NEW YORK

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

NPI Synchronization or Removal

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