Active NPI
Blessed Ambulance
- Land Ambulance
- Huntingdon Valley, PA
National Provider Identifier
1205505989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211228002505 | PA | Part B Supplier - Ambulance Service Supplier | 0244621365 | Practice locations: Huntingdon Valley, PA |
National Provider Directory
National Provider DirectoryLocations
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.