Promed Ambulance, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PROMED AMBULANCE, INC

Practice address

9363 Jamison Ave
Unit a
Philadelphia, PA 19115-4278

Phone

(215) 792-6892

Fax

(215) 774-1347

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Alexander G Kopitko

Title

President

Phone

(215) 792-6892

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1407156797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9363 JAMISON AVE",
            "address_2": "UNIT A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154278",
            "telephone_number": "215-792-6892",
            "fax_number": "215-774-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9363 JAMISON AVE",
            "address_2": "UNIT A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154278",
            "telephone_number": "215-792-6892",
            "fax_number": "215-774-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED AMBULANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "KOPITKO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-792-6892",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Promed Preferred PA 2 Professional Corporation
• Promedica Senior Care of Philadelphia PA, LLC (ProMedica Total Rehab (Philadelphia))
• Promisecare (Promisecare LLC)
• Promoting Youth Empowerment, Inc
• Paul H Pronovost, MD

• Land Ambulance in Philadelphia, PA
• Providers in Philadelphia, 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 11, 2011; 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.