Provider Demographics
NPI:1891376513
Name:SELECT AMBULANCE INC
Entity Type:Organization
Organization Name:SELECT AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
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 UNIT A
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-2750
Mailing Address - Country:US
Mailing Address - Phone:610-236-0111
Mailing Address - Fax:610-236-0222
Practice Address - Street 1:479 OAK GLEN RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-8932
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:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport