Provider Demographics
NPI:1447406632
Name:MEDRESPONSE AMBULANCE INC
Entity Type:Organization
Organization Name:MEDRESPONSE AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARAT
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGRAMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-938-7775
Mailing Address - Street 1:PO BOX 52493
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-7493
Mailing Address - Country:US
Mailing Address - Phone:215-938-7775
Mailing Address - Fax:215-938-7416
Practice Address - Street 1:2915 FRANKS ROAD
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006
Practice Address - Country:US
Practice Address - Phone:215-938-7775
Practice Address - Fax:215-938-7416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA080083416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport