Mercylife Ambulance Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

08011 Issued in PA

Legal business name

MERCYLIFE AMBULANCE INC.

Practice address

309 Philmont Ave
Feasterville Trevose, PA 19053-6406

Phone

(215) 355-4458

NPI assigned

Aug 6, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Khripkov

Title

President

Phone

(267) 971-3765

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1336305531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 PHILMONT AVE",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536406",
            "telephone_number": "215-355-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PHILMONT AVE",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536406",
            "telephone_number": "215-355-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCYLIFE AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "KHRIPKOV",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-971-3765",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "08011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Feasterville Trevose, PA
• Providers in Feasterville Trevose, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.