Provider Demographics
NPI:1831320936
Name:MED-TEC TRANSPORT, INC.
Entity Type:Organization
Organization Name:MED-TEC TRANSPORT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VITALY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSCHAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-237-2153
Mailing Address - Street 1:805 N BETHLEHEM PIKE
Mailing Address - Street 2:
Mailing Address - City:SPRING HOUSE
Mailing Address - State:PA
Mailing Address - Zip Code:19477-0737
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:805 NORTH BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:SPRING HOUSE
Practice Address - State:PA
Practice Address - Zip Code:19477-0737
Practice Address - Country:US
Practice Address - Phone:267-237-2153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport