Provider Demographics
NPI:1295035038
Name:AMERICAN AMBULANCE INC
Entity Type:Organization
Organization Name:AMERICAN AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
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:PO BOX 668770
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-9422
Mailing Address - Country:US
Mailing Address - Phone:305-883-8338
Mailing Address - Fax:305-888-3229
Practice Address - Street 1:65 SPRAGUE ST
Practice Address - Street 2:REAR NORTH UNIT
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-2061
Practice Address - Country:US
Practice Address - Phone:617-361-4800
Practice Address - Fax:617-361-5600
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FALCK USA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-27
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110088163 (A)Medicaid
MA0019331Medicare PIN