Provider Demographics
NPI:1518091529
Name:GOLDEN HOUR AMBULANCE INC.
Entity Type:Organization
Organization Name:GOLDEN HOUR AMBULANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOMOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-464-7775
Mailing Address - Street 1:P.O. BOX 6131
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115
Mailing Address - Country:US
Mailing Address - Phone:215-464-7775
Mailing Address - Fax:215-464-7777
Practice Address - Street 1:2179 BENNETT RD
Practice Address - Street 2:UNIT D
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19116
Practice Address - Country:US
Practice Address - Phone:215-464-7775
Practice Address - Fax:215-464-7777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA383380341600000X
PA07005341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport