Provider Demographics
NPI:1831493824
Name:PMR AMBULANCE INC.
Entity type:Organization
Organization Name:PMR AMBULANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-947-7044
Mailing Address - Street 1:3021 FRANKS RD
Mailing Address - Street 2:UNIT B
Mailing Address - City:HUNTINGTON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006
Mailing Address - Country:US
Mailing Address - Phone:215-947-7044
Mailing Address - Fax:215-947-4055
Practice Address - Street 1:3021 FRANKS RD
Practice Address - Street 2:UNIT B
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-4216
Practice Address - Country:US
Practice Address - Phone:215-947-7044
Practice Address - Fax:215-947-4055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA100443416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport