Provider Demographics
NPI:1720388176
Name:INTERNATIONAL AMBULANCE, INC.
Entity Type:Organization
Organization Name:INTERNATIONAL AMBULANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGIY
Authorized Official - Middle Name:
Authorized Official - Last Name:KHACHATURYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-847-0127
Mailing Address - Street 1:3103 PHILMONT AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-4263
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3103 PHILMONT AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-4263
Practice Address - Country:US
Practice Address - Phone:215-344-8087
Practice Address - Fax:215-344-8320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport