Provider Demographics
NPI:1316255938
Name:SUPERIOR EMS AMBULANCE LLC
Entity type:Organization
Organization Name:SUPERIOR EMS AMBULANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALENTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLESHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-938-4220
Mailing Address - Street 1:PO BOX 52207
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-7207
Mailing Address - Country:US
Mailing Address - Phone:215-719-7555
Mailing Address - Fax:
Practice Address - Street 1:85 C TOMLINSON ROAD
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006
Practice Address - Country:US
Practice Address - Phone:215-938-4220
Practice Address - Fax:215-437-9226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-16
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA100273416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport