Provider Demographics
NPI:1851318430
Name:ADVANCED MEDICAL TRANSPORT SYSTEMS, LLC
Entity Type:Organization
Organization Name:ADVANCED MEDICAL TRANSPORT SYSTEMS, LLC
Other - Org Name:AMTS EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:J
Authorized Official - Last Name:NALESNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-952-2390
Mailing Address - Street 1:1 S 2ND ST
Mailing Address - Street 2:2ND FL
Mailing Address - City:POTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17901
Mailing Address - Country:US
Mailing Address - Phone:570-952-2390
Mailing Address - Fax:
Practice Address - Street 1:700 N 1ST ST
Practice Address - Street 2:
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-1002
Practice Address - Country:US
Practice Address - Phone:610-377-9027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA998578OtherBLUE CROSS OF NEPA
PA1011729600001Medicaid
PA1541846OtherGATEWAY HEALTH PLAN
PA1725733OtherHIGHMARK BLUE SHIELD
PA20039324OtherAMERIHEALTH MERCY
PA1541846OtherGATEWAY HEALTH PLAN
PA086268Medicare PIN