NPIMap

Organization Active NPI

Primestar Ambulance Inc

  • Land Ambulance
  • Huntingdon Valley, PA
National Provider Identifier
1174892343
Registry record updated Dec 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
11055 Issued in PA
Legal business name
PRIMESTAR AMBULANCE INC
Practice address
2337 Philmont Ave
Suite 99
Huntingdon Valley, PA 19006-6200
Phone
(215) 947-7100
Fax
(215) 947-7101
NPI assigned
Dec 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2011

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

Authorized official

Name
Miss Isheemah Burton
Title
President
Phone
(215) 947-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 11055 PA Primary

Addresses

Primary practice location

2337 Philmont Ave
Suite 99
Huntingdon Valley, PA 19006-6200

Mailing address

PO Box 114
Huntingdon Valley, PA 19006-0114
Phone (215) 947-7100

National Provider Directory

National Provider Directory

Locations

2337 Philmont Ave
Ste 99
Huntingdon Valley, PA 19006
Phone (215) 947-7100

NPI Registry JSON

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

{
    "created_epoch": "1324080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324080000000",
    "number": "1174892343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190060114",
            "telephone_number": "215-947-7100",
            "fax_number": "215-947-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 PHILMONT AVE",
            "address_2": "SUITE 99",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066200",
            "telephone_number": "215-947-7100",
            "fax_number": "215-947-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMESTAR AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-17",
        "last_updated": "2011-12-17",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "ISHEEMAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-947-7100",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "11055",
            "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 17, 2011; 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.