NORTHEAST FIRST AID CORPS. NPI 1912098674

NPI Information

NPI: 1912098674
Provider Name: NORTHEAST FIRST AID CORPS.

Other Name: NORTHEAST COMMUNITY AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
4411 RHAWN ST
PHILADELPHIA, PA
ZIP 19136
Phone: (215) 624-9111
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NORTHEAST FIRST AID CORPS. is a land transport ambulance in Philadelphia, PA. NORTHEAST FIRST AID CORPS. NPI is 1912098674. The provider is registered as an organization entity type.
The provider Other Name Is Northeast Community Ambulance.

The provider's business location address is:

4411 RHAWN ST
PHILADELPHIA, PA
ZIP 19136-732
Phone: (215) 624-9111
Fax: (215) 331-7711

The provider's authorized official is Robert P Berkoff .
The authorized official title is Administrator and has the following contact phone number (215) 624-9111.

The CLIA number assigned to this NPI record is 39D1073616 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 11/9/2009.

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	05126	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	000787065	MEDICAID	PENNSYLVANIA
2	285562	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA	AMBULANCE PROVIDER NUMBER

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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