Advantage Ambulance Group, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03109 Issued in PA

Legal business name

ADVANTAGE AMBULANCE GROUP, INC.

Practice address

3235A Sunset Lane
Hatboro, PA 19040

Phone

(215) 455-8030

Fax

(215) 455-4400

NPI assigned

Jul 8, 2005

Organization subpart

No

Name

Mr. Lester J Lishon IV

Title

President

Phone

(610) 442-8575

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2013.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1215935937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 FAIRFIELD LANE",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "19425",
            "telephone_number": "215-455-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235A SUNSET LANE",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "19040",
            "telephone_number": "215-455-8030",
            "fax_number": "215-455-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE AMBULANCE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "LISHON",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-442-8575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.