Provider Demographics
NPI:1508105529
Name:COLONIAL HEALTH INC.
Entity Type:Organization
Organization Name:COLONIAL HEALTH INC.
Other - Org Name:COLONIAL HEALTH AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MUMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-900-0375
Mailing Address - Street 1:465 PIKE RD
Mailing Address - Street 2:SUIT 117
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-1620
Mailing Address - Country:US
Mailing Address - Phone:855-900-0375
Mailing Address - Fax:
Practice Address - Street 1:465 PIKE RD
Practice Address - Street 2:SUIT 117
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1620
Practice Address - Country:US
Practice Address - Phone:855-900-0375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-11
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport