Provider Demographics
NPI:1316298151
Name:DIAMOND CARE MEDICAL TRANSPORTATION CO
Entity type:Organization
Organization Name:DIAMOND CARE MEDICAL TRANSPORTATION CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:
Authorized Official - First Name:AIESHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-467-0843
Mailing Address - Street 1:600 EAGLEVIEW BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1121
Mailing Address - Country:US
Mailing Address - Phone:267-467-0843
Mailing Address - Fax:
Practice Address - Street 1:600 EAGLEVIEW BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1121
Practice Address - Country:US
Practice Address - Phone:267-467-0843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-19
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN283087341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance