Provider Demographics
NPI:1649580390
Name:ARTEX PROMED AMBULANCE INC
Entity Type:Organization
Organization Name:ARTEX PROMED AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANASTASIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PROKOPETS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-910-3324
Mailing Address - Street 1:78 TOMLINSON RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-4261
Mailing Address - Country:US
Mailing Address - Phone:215-938-5433
Mailing Address - Fax:215-938-5434
Practice Address - Street 1:78 TOMLINSON RD
Practice Address - Street 2:SUITE C
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-4261
Practice Address - Country:US
Practice Address - Phone:215-938-5433
Practice Address - Fax:215-938-5434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA10030341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance