Allegiance Ambulance Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

12001 Issued in PA

Legal business name

ALLEGIANCE AMBULANCE INC

Doing business as

Allegiance Ambulance

Practice address

328 Maple Ave
Horsham, PA 19044-2125

Phone

(215) 715-1921

Fax

(215) 343-8070

NPI assigned

Jan 23, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Pavel Kotovets

Title

President

Phone

(215) 715-1921

Specialties & licenses 1

Addresses

Other names 1

• Allegiance Ambulance Doing business as

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1700157740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 KATIE LN",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541336",
            "telephone_number": "215-715-1921",
            "fax_number": "215-343-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 MAPLE AVE",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442125",
            "telephone_number": "215-715-1921",
            "fax_number": "215-343-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANCE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "KOTOVETS",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-715-1921",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "12001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegiance Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy R Adams, PHD, DABCC-TC,F-ABFT
• Debra Ann Adrian, CRNP
• Olufunke Oludolapo Afolabi-Brown, MD
• Pasha Agarwal, MD
• Nidhi Agrawal, M.D.
• Alliance Cancer Specialist
• Ams Cardiovascular ASC PC
• Anderson Behavior Consultation
• Lauren Anderson
• Mercedes Ankomah-Vabi, CRNP

• Land Ambulance in Horsham, PA
• Providers in Horsham, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.