Provider Demographics
NPI:1679884969
Name:AMERI MEX AMBULANCE COMPANY LLC
Entity Type:Organization
Organization Name:AMERI MEX AMBULANCE COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:REYNALDA
Authorized Official - Middle Name:MAYOLA
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-881-5246
Mailing Address - Street 1:2179 BENNETT RD
Mailing Address - Street 2:UNIT E
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-3021
Mailing Address - Country:US
Mailing Address - Phone:215-464-4411
Mailing Address - Fax:215-464-1022
Practice Address - Street 1:2179 BENNETT RD
Practice Address - Street 2:UNIT E
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19116-3021
Practice Address - Country:US
Practice Address - Phone:215-464-4411
Practice Address - Fax:215-464-1022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-01
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1911753416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport