Provider Demographics
NPI:1841575628
Name:VIP AMBULANCE
Entity Type:Organization
Organization Name:VIP AMBULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BASSEM
Authorized Official - Middle Name:
Authorized Official - Last Name:KURAN
Authorized Official - Suffix:
Authorized Official - Credentials:FIRST RESPONDER
Authorized Official - Phone:267-731-6091
Mailing Address - Street 1:220 GEIGER RD
Mailing Address - Street 2:SUITE #201
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-1030
Mailing Address - Country:US
Mailing Address - Phone:267-731-6091
Mailing Address - Fax:
Practice Address - Street 1:220 GEIGER RD
Practice Address - Street 2:SUITE #201
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-1030
Practice Address - Country:US
Practice Address - Phone:267-731-6091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA51028341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance