Omega Ambulance, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

13019 Issued in PA

Legal business name

OMEGA AMBULANCE, INC

Practice address

207 Buck Rd Ste 4
Southampton, PA 18966-1700

Phone

(267) 262-0068

Fax

(215) 494-1970

NPI assigned

Oct 8, 2013

Last updated

Oct 8, 2013By 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

Mr. Volodimyr Matkivski

Title

President

Phone

(267) 262-0068

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1043647902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BUCK RD STE 4",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189661700",
            "telephone_number": "267-262-0068",
            "fax_number": "215-494-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BUCK RD STE 4",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189661700",
            "telephone_number": "267-262-0068",
            "fax_number": "215-494-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA AMBULANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "MATKIVSKI",
        "authorized_official_first_name": "VOLODIMYR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-262-0068",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "13019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Southampton, PA
• Providers in Southampton, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.