NPIMap

Organization Active NPI

Sovereign Medical Response Ambulance Inc.

  • Ambulance
  • Warminster, PA
National Provider Identifier
1760747612
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
14016 Issued in PA
Legal business name
SOVEREIGN MEDICAL RESPONSE AMBULANCE INC.
Practice address
780 Falcon Cir
Suite 127
Warminster, PA 18974-5130
Phone
(215) 444-0295
Fax
(215) 444-0296
NPI assigned
Jul 6, 2012
Last updated
Nov 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Mr. Ilya Guba, EMR
Title
President
Phone
(215) 444-0295

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 12034 PA
Ambulance 341600000X 14016 PA Primary

Addresses

Primary practice location

780 Falcon Cir
Suite 127
Warminster, PA 18974-5130

Mailing address

780 Falcon Cir
Suite 127
Warminster, PA 18974-5130
Phone (215) 444-0295

National Provider Directory

National Provider Directory

Locations

780 Falcon Cir
Ste 127
Warminster, PA 18974
Phone (215) 444-0295

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1760747612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 FALCON CIR",
            "address_2": "SUITE 127",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189745130",
            "telephone_number": "215-444-0295",
            "fax_number": "215-444-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 FALCON CIR",
            "address_2": "SUITE 127",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189745130",
            "telephone_number": "215-444-0295",
            "fax_number": "215-444-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN MEDICAL RESPONSE AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "GUBA",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-444-0295",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMR"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "12034",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "14016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.