Provider Demographics
NPI:1235387234
Name:AMBUNET INC
Entity Type:Organization
Organization Name:AMBUNET INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:ZANDERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:843-617-8796
Mailing Address - Street 1:1439 JOHNSONVILLE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:SC
Mailing Address - Zip Code:29560-2523
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1439 JOHNSONVILLE HIGHWAY
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:SC
Practice Address - Zip Code:29560-2523
Practice Address - Country:US
Practice Address - Phone:843-389-5840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance