Organization Active NPI

Blessed Ambulance

  • Land Ambulance
  • Huntingdon Valley, PA
National Provider Identifier
1205505989
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
BLESSED AMBULANCE
Practice address
2655 Philmont Ave Ste 206
Huntingdon Valley, PA 19006-5314
Phone
(215) 421-2435
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Pavel Atrushkevich, OWNER
Title
Vice-President
Phone
(215) 906-9650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

2655 Philmont Ave Ste 206
Huntingdon Valley, PA 19006-5314

Mailing address

2655 Philmont Ave Ste 206
Huntingdon Valley, PA 19006-5314
Phone (215) 421-2435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211228002505 PA Part B Supplier - Ambulance Service Supplier 0244621365 Practice locations: Huntingdon Valley, PA

National Provider Directory

National Provider Directory

Locations

2655 Philmont Ave
Ste 206
Huntingdon Vy, PA 19006
Phone (215) 268-6173

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1205505989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 PHILMONT AVE STE 206",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065314",
            "telephone_number": "215-421-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 PHILMONT AVE STE 206",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065314",
            "telephone_number": "215-421-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "ATRUSHKEVICH",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "215-906-9650",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "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 Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.