Active NPI
Penn Choice Ambulance Inc.
- Land Ambulance
- Huntingdon Valley, PA
National Provider Identifier
1457645343
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jun 18, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 11028
- Legal business name
- PENN CHOICE AMBULANCE INC.
- Practice address
- 3021 Franks Rd
Huntingdon Valley, PA 19006-4216 - Phone
- (267) 679-1446
- Fax
- (215) 933-5303
- NPI assigned
- Jun 8, 2011
- Last updated
- Jun 8, 2011
- Organization subpart
- Yes
- Parent organization
- PENN CHOICE AMBULANCE INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Anna Mudrova
- Title
- President
- Phone
- (267) 679-1446
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 11028 | PA | Primary |
Addresses
Primary practice location
3021 Franks Rd
Huntingdon Valley, PA 19006-4216
Mailing address
9301 Neil Rd
Unit B
Philadelphia, PA 19115-4275
Phone (267) 679-1446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Part of
- Penn Choice Ambulance Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307491200000",
"number": "1457645343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 NEIL RD",
"address_2": "UNIT B",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191154275",
"telephone_number": "267-679-1446",
"fax_number": "215-933-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 FRANKS RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190064216",
"telephone_number": "267-679-1446",
"fax_number": "215-933-5303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENN CHOICE AMBULANCE INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PENN CHOICE AMBULANCE INC.",
"enumeration_date": "2011-06-08",
"last_updated": "2011-06-08",
"status": "A",
"authorized_official_last_name": "MUDROVA",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "267-679-1446",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "11028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntingdon Valley, PA
- Patriot Medical Supply, Inc. (Patriot Medical)
- Jennifer Patterson
- Inna Pavlova-Rosenfeld, MSCP, NCC, LPC
- Peace Be Still Holistic Health
- Deborah Pelberg, MA LMFT
- Penn Health Ambulance Corp
- Penn Stat Inc.
- Penncross Ambulance Service LLC
- Pennlife Homecare LLC
- Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #02110)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.