Provider Demographics
NPI:1255468435
Name:CITY OF PHILADELPHIA
Entity Type:Organization
Organization Name:CITY OF PHILADELPHIA
Other - Org Name:CITY OF PHILADELPHIA - FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMMISSIONER
Authorized Official - Prefix:
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:AYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-686-1300
Mailing Address - Street 1:PO BOX 8500
Mailing Address - Street 2:LOCKBOX #9437
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-9437
Mailing Address - Country:US
Mailing Address - Phone:215-686-1370
Mailing Address - Fax:614-987-2075
Practice Address - Street 1:240 SPRING GARDEN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-2923
Practice Address - Country:US
Practice Address - Phone:215-686-1370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA002983416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01107656Medicaid
PA=========OtherTAX ID #
PA=========OtherTAX ID #