Provider Demographics
NPI:1457632317
Name:PCA EMSTAR HOLDINGS, L.P.
Entity Type:Organization
Organization Name:PCA EMSTAR HOLDINGS, L.P.
Other - Org Name:EMSTAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCIAL OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-764-8801
Mailing Address - Street 1:PO BOX 52758
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-7758
Mailing Address - Country:US
Mailing Address - Phone:215-764-8800
Mailing Address - Fax:215-827-5958
Practice Address - Street 1:225 GEIGER RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-1015
Practice Address - Country:US
Practice Address - Phone:215-764-8800
Practice Address - Fax:215-827-5958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA110403416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport