AMBIVAN MEDICAL TRANSPORTATION SERVICE INC. (NPI# 1699892786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699892786 |
| Entity Type | Organization |
| Organization Name | AMBIVAN MEDICAL TRANSPORTATION SERVICE INC. |
| Other Organization Name | AMBIVAN |
| Practice Address |
1492 Haddon Ave. Camden NJ 08103-3121 |
| Mailing Address |
Po Box 51 Audubon NJ 08106-0051 |
| Practice Telephone | 8565411500 |
| Practice Fax Number | 8565411494 |
| Mailing Telephone | 8565411500 |
| Mailing Fax Number | 8565411494 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KATHY HAINSWORTH (PRESIDENT) |
| Authorized Official Telephone | 8565411500 |
| Authorized Official Credential | EMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 341600000X | Ambulance | AMBI00034 | NJ | Transportation Services |
| X | 3416L0300X |
Ambulance Specialization: Land Transport |
AMBI00034 | NJ | Transportation Services |
| X | 343800000X | Secured Medical Transport (VAN) | AMBI00034 | NJ | Transportation Services |
| X | 343900000X | Non-emergency Medical Transport (VAN) | AMBI00034 | NJ | Transportation Services |
| X | 344600000X | Taxi | Transportation Services | ||
| X | 347E00000X | Transportation Broker | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2922606 | 05 |
| Other Name | Type Code |
|---|---|
| Ambivan | Doing Business As Name - Organization |
| Street Address |
1492 HADDON AVE. |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
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| 1497264436 | Lebanon Township Volunteer Fire Department | Ambulance | 532 West Hill Road, Glen Gardner, NJ 08826 | 2017-09-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.