NPIMap

Organization Active NPI

Statewide EMS Inc

  • Ambulance
  • Huntingdon Valley, PA
National Provider Identifier
1093019457
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
10043 Issued in PA
Legal business name
STATEWIDE EMS INC
Practice address
67 Buck Rd
121
Huntingdon Valley, PA 19006-1535
Phone
(267) 475-7555
NPI assigned
Dec 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Mr. Bogdan Degterenko
Title
Manager
Phone
(267) 475-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 10043 PA Primary

Addresses

Primary practice location

67 Buck Rd
121
Huntingdon Valley, PA 19006-1535

Mailing address

67 Buck Rd
121
Huntingdon Valley, PA 19006-1535
Phone (267) 475-7555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1093019457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BUCK RD",
            "address_2": "121",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061535",
            "telephone_number": "267-475-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BUCK RD",
            "address_2": "121",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061535",
            "telephone_number": "267-475-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEWIDE EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "DEGTERENKO",
        "authorized_official_first_name": "BOGDAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "267-475-7555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "10043",
            "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 28, 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.