Medex Ambulance, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

04234 Issued in PA

Legal business name

MEDEX AMBULANCE, INC

Practice address

341 Philmont Ave
Shop 2 and 3
Feasterville Trevose, PA 19053-6406

Phone

(215) 355-3636

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Alex Zagorodny

Title

President

Phone

(215) 355-3636

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518016948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14589",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191150589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 PHILMONT AVE",
            "address_2": "SHOP 2 AND 3",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536406",
            "telephone_number": "215-355-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEX AMBULANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAGORODNY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-355-3636"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001767000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011890820001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "36169",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.