Provider Demographics
NPI:1235157942
Name:RESCUE TECH INC
Entity Type:Organization
Organization Name:RESCUE TECH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING REPRESENTATIVE
Authorized Official - Prefix:MS
Authorized Official - First Name:NZINGHA
Authorized Official - Middle Name:AISHA
Authorized Official - Last Name:GOODE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-396-7884
Mailing Address - Street 1:465A VEIT RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-1617
Mailing Address - Country:US
Mailing Address - Phone:215-396-7884
Mailing Address - Fax:215-396-7758
Practice Address - Street 1:465A VEIT RD
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1617
Practice Address - Country:US
Practice Address - Phone:215-396-7884
Practice Address - Fax:215-396-7758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA040713416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019451130004Medicaid
PA30006815OtherKEYSTONE MERCY
PA0000251000OtherBLUE CROSS BLUE SHIELD
PA30006815OtherKEYSTONE MERCY