NPIMap

Organization Active NPI

Pure Life Ambulance Inc

  • Land Ambulance
  • Huntingdon Valley, PA
National Provider Identifier
1003237249
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PURE LIFE AMBULANCE INC
Practice address
27 Tomlinson Rd
Suite 103
Huntingdon Valley, PA 19006-4218
Phone
(215) 789-8651
NPI assigned
Dec 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ruvim KolesnikovichNPI 1396176970
Title
Owner
Phone
(215) 789-8651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

27 Tomlinson Rd
Suite 103
Huntingdon Valley, PA 19006-4218

Mailing address

27 Tomlinson Rd
Suite 103
Huntingdon Valley, PA 19006-4218

National Provider Directory

National Provider Directory

Locations

27 Tomlinson Rd
Ste 103
Huntingdon Valley, PA 19006
Phone (215) 789-8651

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1003237249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 TOMLINSON RD",
            "address_2": "SUITE 103",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 TOMLINSON RD",
            "address_2": "SUITE 103",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064218",
            "telephone_number": "215-789-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE LIFE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "KOLESNIKOVICH",
        "authorized_official_first_name": "RUVIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-789-8651"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.