Penncross Ambulance Service LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10020 Issued in PA

Legal business name

PENNCROSS AMBULANCE SERVICE LLC

Practice address

67 Buck Rd
Suite 183 Box 26
Huntingdon Valley, PA 19006-1535

Phone

(215) 964-4001

Fax

(215) 526-2758

NPI assigned

Aug 27, 2010

Last updated

Aug 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Intisar A Essa

Title

Direct Owner

Phone

(215) 964-4001

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1265748321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BUCK RD",
            "address_2": "SUITE 183 BOX 26",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061535",
            "telephone_number": "215-964-4001",
            "fax_number": "215-526-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BUCK RD",
            "address_2": "SUITE 183 BOX 26",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061535",
            "telephone_number": "215-964-4001",
            "fax_number": "215-526-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNCROSS AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "ESSA",
        "authorized_official_first_name": "INTISAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "215-964-4001"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "10020",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "10020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.