Provider Demographics
NPI:1205183605
Name:RG AMBULANCE SERVICE, INC.
Entity Type:Organization
Organization Name:RG AMBULANCE SERVICE, INC.
Other - Org Name:AMERICAN AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-876-2100
Mailing Address - Street 1:2766 NW 62ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-7662
Mailing Address - Country:US
Mailing Address - Phone:305-779-0505
Mailing Address - Fax:305-779-0500
Practice Address - Street 1:2766 NW 62ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-7662
Practice Address - Country:US
Practice Address - Phone:305-779-0505
Practice Address - Fax:305-779-0500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-06
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport