Provider Demographics
NPI:1821215484
Name:AMERICAN LIFE AMBULANCE, LLC
Entity Type:Organization
Organization Name:AMERICAN LIFE AMBULANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:215-639-2924
Mailing Address - Street 1:5213 WINDWARD LN
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-4061
Mailing Address - Country:US
Mailing Address - Phone:215-639-2924
Mailing Address - Fax:
Practice Address - Street 1:5213 WINDWARD LN
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-4061
Practice Address - Country:US
Practice Address - Phone:215-639-2924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA07008341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance