Advantage Medical Transport Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

06123 Issued in PA

Legal business name

ADVANTAGE MEDICAL TRANSPORT INC

Practice address

733 Firehouse LN
Harrisburg, PA 17111-4773

Phone

(717) 564-8100

Fax

(717) 564-4800

NPI assigned

Sep 28, 2006

Last updated

Mar 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Serge Sivchuk

Title

Owner

Phone

(717) 564-8100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1043302250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 FIREHOUSE LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171114773",
            "telephone_number": "717-564-8100",
            "fax_number": "717-564-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 FIREHOUSE LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171114773",
            "telephone_number": "717-564-8100",
            "fax_number": "717-564-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE MEDICAL TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "SIVCHUK",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-564-8100"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "06123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.