Provider Demographics
NPI:1609857051
Name:ABSOLUTE HEALTH SYSTEM LLC
Entity Type:Organization
Organization Name:ABSOLUTE HEALTH SYSTEM LLC
Other - Org Name:ABSOLUTE AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VITALY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-947-6000
Mailing Address - Street 1:3021 FRANKS RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-4216
Mailing Address - Country:US
Mailing Address - Phone:215-947-6000
Mailing Address - Fax:215-947-7701
Practice Address - Street 1:3021 FRANKS RD
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-4216
Practice Address - Country:US
Practice Address - Phone:215-947-6000
Practice Address - Fax:215-947-7701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA060333416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01948993Medicaid
PA68113Medicare ID - Type Unspecified