Provider Demographics
NPI:1104837020
Name:A & B AMBULANCE SERVICE, INC.
Entity Type:Organization
Organization Name:A & B AMBULANCE SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HERMAN
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:ANDREEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-541-8555
Mailing Address - Street 1:PO BOX 460
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-0460
Mailing Address - Country:US
Mailing Address - Phone:804-541-8555
Mailing Address - Fax:804-458-2847
Practice Address - Street 1:3601 OAKLAWN BLVD
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-5503
Practice Address - Country:US
Practice Address - Phone:804-541-8555
Practice Address - Fax:804-458-2847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA3003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9001662Medicaid
VA9001662Medicaid