Provider Demographics
NPI:1164922670
Name:AMERICHAIR TRANSPORT SERVICE INC.
Entity Type:Organization
Organization Name:AMERICHAIR TRANSPORT SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:CORNELIUS
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-201-0075
Mailing Address - Street 1:701 28TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-3630
Mailing Address - Country:US
Mailing Address - Phone:727-201-0075
Mailing Address - Fax:727-209-3397
Practice Address - Street 1:701 28TH AVE S
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-3630
Practice Address - Country:US
Practice Address - Phone:727-201-0075
Practice Address - Fax:727-209-3397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00056660343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)