Provider Demographics
NPI:1225581200
Name:INTEGRATED MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:INTEGRATED MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-712-2413
Mailing Address - Street 1:322 E ALLEN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-3307
Mailing Address - Country:US
Mailing Address - Phone:717-590-8179
Mailing Address - Fax:717-620-8224
Practice Address - Street 1:322 E ALLEN ST
Practice Address - Street 2:SUITE C
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-3307
Practice Address - Country:US
Practice Address - Phone:717-590-8179
Practice Address - Fax:717-620-8224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport