Provider Demographics
NPI:1205136306
Name:GOOD CHOICE AMBULANCE INC
Entity type:Organization
Organization Name:GOOD CHOICE AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTUR
Authorized Official - Middle Name:
Authorized Official - Last Name:DAUROV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-403-9955
Mailing Address - Street 1:111 BUCK RD UNIT 500 STE 9
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-1544
Mailing Address - Country:US
Mailing Address - Phone:267-403-9955
Mailing Address - Fax:215-405-3909
Practice Address - Street 1:111 BUCK RD UNIT 500 STE 9
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1544
Practice Address - Country:US
Practice Address - Phone:267-403-9955
Practice Address - Fax:215-405-3909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA10036341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01162278OtherRAILROAD MEDICARE
PA1026471550001Medicaid