NPIMap

Organization Active NPI

Penn Choice Ambulance Inc

  • Land Ambulance
  • Camp Hill, PA
National Provider Identifier
1053634634
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
09014 Issued in PA
Legal business name
PENN CHOICE AMBULANCE INC
Practice address
3907 Hartzdale Drive
Suite 708
Camp Hill, PA 17011-7835
Phone
(717) 525-9656
Fax
(215) 933-5303
NPI assigned
Mar 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Anna Mudrova
Title
President
Phone
(267) 679-1446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 09014 PA Primary

Addresses

Primary practice location

3907 Hartzdale Drive
Suite 708
Camp Hill, PA 17011-7835

Mailing address

3907 Hartzdale Drive
Suite 708
Camp Hill, PA 17011-7835
Phone (717) 525-9656

National Provider Directory

National Provider Directory

Locations

3907 Hartzdale Dr
Ste 708
Camp Hill, PA 17011
Phone (267) 679-1446

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1053634634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 HARTZDALE DRIVE",
            "address_2": "SUITE 708",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117835",
            "telephone_number": "717-525-9656",
            "fax_number": "215-933-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 HARTZDALE DRIVE",
            "address_2": "SUITE 708",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117835",
            "telephone_number": "717-525-9656",
            "fax_number": "215-933-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN CHOICE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "MUDROVA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-679-1446"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "09014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.