Family Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

13026 Issued in PA

Legal business name

FAMILY AMBULANCE

Practice address

27 Tomlinson Rd
Suite 107
Huntingdon Valley, PA 19006-4218

Phone

(215) 821-0799

NPI assigned

Jan 14, 2014

Last updated

Jan 14, 2014By 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

Boris Malyuha

Title

Credentialing Specialist

Phone

(215) 821-0799

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1295157998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 TOMLINSON RD",
            "address_2": "SUITE 107",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064218",
            "telephone_number": "215-821-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 TOMLINSON RD",
            "address_2": "SUITE 107",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064218",
            "telephone_number": "215-821-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "MALYUHA",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "215-821-0799"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "13026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.