Provider Demographics
NPI:1164405171
Name:A-1 AMBULANCE & TRANSPORT, INC.
Entity Type:Organization
Organization Name:A-1 AMBULANCE & TRANSPORT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:EASTER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:240-318-0333
Mailing Address - Street 1:30140 BACH DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE HALL
Mailing Address - State:MD
Mailing Address - Zip Code:20622-3002
Mailing Address - Country:US
Mailing Address - Phone:240-318-0333
Mailing Address - Fax:240-318-0040
Practice Address - Street 1:7720 OLD ALEXANDRIA FERRY RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-1839
Practice Address - Country:US
Practice Address - Phone:240-318-0333
Practice Address - Fax:240-318-0040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-23
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD073341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance