Organization Active NPI

Good Choice Ambulance Inc

  • Land Ambulance
  • Huntingdon Valley, PA
National Provider Identifier
1205136306
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
10036 Issued in PA
Legal business name
GOOD CHOICE AMBULANCE INC
Practice address
111 Buck Rd Unit 500 Ste 9
Huntingdon Valley, PA 19006-1544
Phone
(267) 403-9955
Fax
(215) 405-3909
NPI assigned
Oct 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Artur Daurov
Title
President
Phone
(267) 403-9955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 10036 PA
Land Ambulance 3416L0300X 10036 PA Primary

Addresses

Primary practice location

111 Buck Rd Unit 500 Ste 9
Huntingdon Valley, PA 19006-1544

Mailing address

111 Buck Rd Unit 500 Ste 9
Huntingdon Valley, PA 19006-1544
Phone (267) 403-9955

Other identifiers 2

IdentifierTypeStateIssuer
P01162278OtherRAILROAD MEDICARE
1026471550001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205136306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BUCK RD UNIT 500 STE 9",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061544",
            "telephone_number": "267-403-9955",
            "fax_number": "215-405-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BUCK RD UNIT 500 STE 9",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061544",
            "telephone_number": "267-403-9955",
            "fax_number": "215-405-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD CHOICE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAUROV",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-403-9955"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "10036",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "10036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01162278",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026471550001",
            "state": "PA"
        }
    ],
    "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 Jul 21, 2022; 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.