Provider Demographics
NPI:1790094498
Name:RED CROSS AMBULANCE,INC
Entity Type:Organization
Organization Name:RED CROSS AMBULANCE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRIGORI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-401-9997
Mailing Address - Street 1:3103 PHILMONT AVE STE 334
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-4264
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3103 PHILMONT AVE STE 334
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-4264
Practice Address - Country:US
Practice Address - Phone:267-401-9997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-28
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance