Star Med Ambulance Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

13023 Issued in PA

Legal business name

STAR MED AMBULANCE INC.

Practice address

73B Tracey Rd
Huntingdon Valley, PA 19006-4222

Phone

(215) 678-5399

NPI assigned

Nov 3, 2013

Organization subpart

No

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

Authorized official

Name

Yuriy Horbatenko

Title

President

Phone

(215) 678-5399

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1383436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1487083291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73B TRACEY RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064222",
            "telephone_number": "215-678-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73B TRACEY RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064222",
            "telephone_number": "215-678-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MED AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-03",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "HORBATENKO",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-678-5399"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "13023",
            "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 Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.