NORTHEAST FIRST AID CORPS.


Address: 4411 Rhawn St, Philadelphia, PA 19136-2732
Phone: 2156249111

NORTHEAST FIRST AID CORPS. (NPI# 1912098674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912098674
Entity Type Organization
Organization Name NORTHEAST FIRST AID CORPS.
Other Organization Name NORTHEAST COMMUNITY AMBULANCE
Practice Address 4411 Rhawn St
Philadelphia
PA 19136-2732
Practice Telephone 2156249111
Practice Fax Number 2153317711
Mailing Telephone 2156249111
Mailing Fax Number 2153317711
Enumeration Date 2006-09-27
Last Update Date 2009-11-09
Authorized Official Name MR. ROBERT P BERKOFF (ADMINISTRATOR)
Authorized Official Telephone 2156249111
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
05126 PA Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
PA 000787065 05

Other Provider/Organization Names

Other Name Type Code
northeast community ambulance Other Name - Individual/Organization

Office Location

Street Address 4411 RHAWN ST
City PHILADELPHIA
State PA
Zip Code 19136-2732

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1063932069 Rachel Alexa Allen Counselor 3254 Teesdale Street, Philadelphia, PA 19136 2017-06-21
1962944371 Erin Hartey Counselor 4323 Vista St, Phila, PA 19136 2016-11-16
1932657715 Janice Lisette Frisby Counselor 8454 Jackson Street, Philadelphia, PA 19136 2016-09-21
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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

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1003232893 White Cross Ambulance Services LLC Ambulance 2222 N Broad St, Philadelphia, PA 19132-4501 2014-03-17
1790110658 Guardian Medical Transport Inc Ambulance 5713 N American St, Philadelphia, PA 19120-2365 2013-09-11
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1548603988 Everest Ambulance LLC Ambulance 8420 Bustleton Ave, Philadelphia, PA 19152-1902 2013-04-16
1699014373 Millennium Medical Transportation, Inc Ambulance 9986 Gantry Rd, Rear Bld #b, Philadelphia, PA 19115-1002 2013-01-31
1669720181 New Trinity Ambulance LLC Ambulance 4545 N Front St, Philadelphia, PA 19140-1606 2012-08-15
1467719328 First Care Ambulance Inc Ambulance 10065 Sandmeyer Ln, Warehouse 401, Philadelphia, PA 19116-3515 2012-04-17
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Competitor

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City PHILADELPHIA
Zip Code 19136

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Dataset Information

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.

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