Genesis Medical Transport

Organization Active NPI Land Ambulance · Philadelphia, PA

NPI 1598036261 · NPPES record last updated Jan 26, 2012

Key facts

NPI
1598036261
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
License
11051 (PA)
Legal business name
GENESIS MEDICAL TRANSPORT
Practice address
2180 Margaret St
Philadelphia, PA 19124-2839
Phone
(610) 333-3401
NPI assigned
Jan 26, 2012
Organization subpart
No

Authorized official

Name
Mr. Andrey Prikhodko
Title
President
Phone
(610) 333-3401

National Provider Directory

Locations

2180 Margaret St
Philadelphia, PA 19124
Phone (610) 333-3401

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 11051 PA Yes

Addresses

Primary practice location

2180 Margaret St
Philadelphia, PA 19124-2839

Mailing address

1739 Bleigh Ave
Philadelphia, PA 19111-3829
Phone (267) 934-1335

Other providers in Philadelphia, PA

All providers in Philadelphia, PA · Land Ambulance in Pennsylvania

Sources for this page

Verify at the official NPI Registry.