Provider Demographics
NPI:1417166018
Name:AMERIQUEST AMBULANCE, INC.
Entity Type:Organization
Organization Name:AMERIQUEST AMBULANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:FINKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-444-0911
Mailing Address - Street 1:2755 PHILMONT AVE
Mailing Address - Street 2:UNIT 100
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-5368
Mailing Address - Country:US
Mailing Address - Phone:215-444-0911
Mailing Address - Fax:215-675-9111
Practice Address - Street 1:2755 PHILMONT AVE
Practice Address - Street 2:UNIT 100
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-5368
Practice Address - Country:US
Practice Address - Phone:215-444-0911
Practice Address - Fax:215-675-9111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA46011341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance