Provider Demographics
NPI:1942585146
Name:MERCY AMBULANCE & EMS INC.
Entity Type:Organization
Organization Name:MERCY AMBULANCE & EMS INC.
Other - Org Name:MERCY AMBULANCE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANASTASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-660-4911
Mailing Address - Street 1:3021 FRANKS RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-4216
Mailing Address - Country:US
Mailing Address - Phone:215-660-4911
Mailing Address - Fax:215-558-5005
Practice Address - Street 1:3021 FRANKS RD
Practice Address - Street 2:SUITE 8
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-4216
Practice Address - Country:US
Practice Address - Phone:215-660-4911
Practice Address - Fax:215-882-9666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-19
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport