Provider Demographics
NPI:1639477599
Name:UNI-MED AMBULANCE INC
Entity Type:Organization
Organization Name:UNI-MED AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TYREE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-892-2032
Mailing Address - Street 1:460 VEIT RD
Mailing Address - Street 2:UNIT B
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-1624
Mailing Address - Country:US
Mailing Address - Phone:215-892-2032
Mailing Address - Fax:
Practice Address - Street 1:460 VEIT RD
Practice Address - Street 2:UNIT B
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1624
Practice Address - Country:US
Practice Address - Phone:215-892-2032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-02
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA214525OtherMEDICARE PTAN