Organization Active NPI

Advantage Ambulance Inc

  • Land Ambulance
  • Baltimore, MD
National Provider Identifier
1376726489
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
124 Issued in MD
Legal business name
ADVANTAGE AMBULANCE INC
Practice address
4401 E Fairmount Ave
Baltimore, MD 21224-1703
Phone
(410) 534-5200
Fax
(410) 534-5201
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Zahar Tkach
Title
President
Phone
(410) 534-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 124 MD Primary

Addresses

Primary practice location

4401 E Fairmount Ave
Baltimore, MD 21224-1703

Mailing address

4401 E Fairmount Ave
Baltimore, MD 21224-1703
Phone (410) 534-5200

National Provider Directory

National Provider Directory

Locations

4401 E Fairmount Ave
Baltimore, MD 21224
Phone (410) 534-5200

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1376726489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 E FAIRMOUNT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212241703",
            "telephone_number": "410-534-5200",
            "fax_number": "410-534-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 E FAIRMOUNT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212241703",
            "telephone_number": "410-534-5200",
            "fax_number": "410-534-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "TKACH",
        "authorized_official_first_name": "ZAHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-534-5200"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MD",
            "license": "124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.