Provider Demographics
NPI:1841557261
Name:SELECT AMBULANCE INC
Entity Type:Organization
Organization Name:SELECT AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:TSIMURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-236-0111
Mailing Address - Street 1:115 LITTLE ROCK RD
Mailing Address - Street 2:UNIT A
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-2750
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:115 LITTLE ROCK RD
Practice Address - Street 2:UNIT A
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-2750
Practice Address - Country:US
Practice Address - Phone:610-236-0111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA120223416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport