Provider Demographics
NPI:1558583310
Name:FRONT LINE AMBULANCE
Entity Type:Organization
Organization Name:FRONT LINE AMBULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SORKINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-984-9449
Mailing Address - Street 1:282 RIDGEWAY PLZ
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-3513
Mailing Address - Country:US
Mailing Address - Phone:267-984-9449
Mailing Address - Fax:
Practice Address - Street 1:101 E PENNSYLVANIA BLVD
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-7843
Practice Address - Country:US
Practice Address - Phone:267-984-9449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance