Provider Demographics
NPI:1346223021
Name:MED EXPRESS AMBULANCE INC
Entity Type:Organization
Organization Name:MED EXPRESS AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:ARLETTE
Authorized Official - Middle Name:JEWEL
Authorized Official - Last Name:HEIFEIT
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:215-744-8063
Mailing Address - Street 1:1306 UNITY ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-3918
Mailing Address - Country:US
Mailing Address - Phone:215-342-3111
Mailing Address - Fax:215-744-8067
Practice Address - Street 1:1306 UNITY ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-3918
Practice Address - Country:US
Practice Address - Phone:215-342-3111
Practice Address - Fax:215-744-8067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02282341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016180020004Medicaid
PA0016180020004Medicaid