Provider Demographics
NPI:1114172327
Name:STARCARE AMBULANCE
Entity Type:Organization
Organization Name:STARCARE AMBULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:DUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-917-9817
Mailing Address - Street 1:309 CAMER DR
Mailing Address - Street 2:UNIT 3
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-7323
Mailing Address - Country:US
Mailing Address - Phone:215-917-9817
Mailing Address - Fax:215-244-4441
Practice Address - Street 1:309 CAMER DR
Practice Address - Street 2:UNIT 3
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-7323
Practice Address - Country:US
Practice Address - Phone:215-917-9817
Practice Address - Fax:215-244-4441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA06126341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1104910561Medicare PIN