Provider Demographics
NPI:1023544152
Name:AMCORE GENERAL CONTRACTING INC.
Entity Type:Organization
Organization Name:AMCORE GENERAL CONTRACTING INC.
Other - Org Name:AMCORE RELIABLE TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AKWAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:210-379-3325
Mailing Address - Street 1:6322 SOVEREIGN ST
Mailing Address - Street 2:170
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5142
Mailing Address - Country:US
Mailing Address - Phone:210-379-3325
Mailing Address - Fax:210-541-0829
Practice Address - Street 1:6322 SOVEREIGN ST
Practice Address - Street 2:170
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5142
Practice Address - Country:US
Practice Address - Phone:210-379-3325
Practice Address - Fax:210-541-0829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)