Welcome Ambulance Inc.

Organization Active NPI Land Ambulance · Feasterville, PA

NPI 1902869092 · NPPES record last updated Dec 9, 2009

Key facts

NPI
1902869092
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
License
03091 (PA)
Legal business name
WELCOME AMBULANCE INC.
Practice address
1631 Loretta Ave
Unit 3
Feasterville, PA 19053-7310
Phone
(215) 750-0740
Fax
(215) 750-0564
NPI assigned
Apr 10, 2006
Organization subpart
No

Authorized official

Name
Mrs. Olga Latysheva, PH.D.
Title
Vice-President
Phone
(215) 820-0584

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20091222000506 PA Part B Supplier - Ambulance Service Supplier 5193865111 Practice locations: Feasterville Trevose, PA

National Provider Directory

Locations

1631 Loretta Ave
Unit 3
Fstrvl Trvose, PA 19053
Phone (215) 750-0740

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 03091 PA Yes

Addresses

Primary practice location

1631 Loretta Ave
Unit 3
Feasterville, PA 19053-7310

Mailing address

664 Valley Stream Cir
Langhorne, PA 19053-1953
Phone (215) 750-0740

Other identifiers

IdentifierTypeStateIssuer
0000412000OtherPAINDEPENDENCE BLUE CROSS
30006053OtherPAKEYSTONE MERCY
0019487320001MedicaidPA

Other providers in Feasterville, PA

All providers in Feasterville, PA · Land Ambulance in Pennsylvania

Sources for this page

Verify at the official NPI Registry.