Provider Demographics
NPI:1356477723
Name:HORSHAM AMBULANCE
Entity Type:Organization
Organization Name:HORSHAM AMBULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:HEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-672-6212
Mailing Address - Street 1:PO BOX 34634
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07189-0001
Mailing Address - Country:US
Mailing Address - Phone:215-337-9362
Mailing Address - Fax:215-337-9384
Practice Address - Street 1:315 MEETINGHOUSE RD
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2105
Practice Address - Country:US
Practice Address - Phone:215-672-6212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03258341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA281141Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER