Eastfalls Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

463715 Issued in PA

Legal business name

EASTFALLS AMBULANCE LLC

Practice address

5398 Wynnefield Ave
Suite 105
Philadelphia, PA 19131-2344

Phone

(215) 252-0169

NPI assigned

Jan 2, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Davette Lakish Campbell

Title

Member

Phone

(215) 252-0169

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1730325341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5398 WYNNEFIELD AVE",
            "address_2": "SUITE 105",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312344",
            "telephone_number": "215-877-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5398 WYNNEFIELD AVE",
            "address_2": "SUITE 105",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312344",
            "telephone_number": "215-252-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTFALLS AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DAVETTE",
        "authorized_official_middle_name": "LAKISH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "215-252-0169",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "463715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Pennsylvania Crna Services
• Eastern Pennsylvania Orthopedic Associates
• Eastern Regional Medical Center Inc
• Eastern Regional Medical Center, Inc
• Easterseals of Southeastern Pennsylvania
• Gail I Eastman, CRNP
• Cyrilene Anna Eastmond, M.D.
• Austin Eastmure, CGC
• Dionne Easton
• Lisa J. Easton, PA-C

• Land Ambulance in Philadelphia, PA
• Providers in Philadelphia, 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 2, 2009; 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.