Provider Demographics
NPI:1205505989
Name:BLESSED AMBULANCE
Entity type:Organization
Organization Name:BLESSED AMBULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ATRUSHKEVICH
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:215-906-9650
Mailing Address - Street 1:2655 PHILMONT AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-5314
Mailing Address - Country:US
Mailing Address - Phone:215-421-2435
Mailing Address - Fax:
Practice Address - Street 1:2655 PHILMONT AVE STE 206
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-5314
Practice Address - Country:US
Practice Address - Phone:215-421-2435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport