Advance Life Ambulance Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

ADVANCE LIFE AMBULANCE INC

Practice address

9965 Wingtip Rd
Philadelphia, PA 19115-1708

Phone

(267) 307-7741

NPI assigned

Jun 13, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Stanislav Braganets

Title

President

Phone

(267) 307-7741

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1649532748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9965 WINGTIP RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9965 WINGTIP RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151708",
            "telephone_number": "267-307-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE LIFE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "BRAGANETS",
        "authorized_official_first_name": "STANISLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-307-7741",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.