Provider Demographics
NPI:1083873616
Name:SAFECARE AMBULANCE SERVCIES INC
Entity Type:Organization
Organization Name:SAFECARE AMBULANCE SERVCIES INC
Other - Org Name:NETWORK AMBULANCE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOLLENDORF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-764-8803
Mailing Address - Street 1:300 DOMINO LN
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-4352
Mailing Address - Country:US
Mailing Address - Phone:215-764-8803
Mailing Address - Fax:215-827-5608
Practice Address - Street 1:620 N GRAHAM ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109-2049
Practice Address - Country:US
Practice Address - Phone:610-432-4505
Practice Address - Fax:610-432-6205
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAFECARE AMBULANCE SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA042213416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018782350001Medicaid
PA052611Medicare PIN