Provider Demographics
NPI:1447391743
Name:AMERIPARK, INC.
Entity Type:Organization
Organization Name:AMERIPARK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EBENEZER
Authorized Official - Middle Name:A
Authorized Official - Last Name:ASAMOAH
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:301-277-6550
Mailing Address - Street 1:3814 BLADENSBURG RD
Mailing Address - Street 2:
Mailing Address - City:COTTAGE CITY
Mailing Address - State:MD
Mailing Address - Zip Code:20722-1613
Mailing Address - Country:US
Mailing Address - Phone:301-277-6550
Mailing Address - Fax:301-277-6623
Practice Address - Street 1:3814 BLADENSBURG RD
Practice Address - Street 2:
Practice Address - City:COTTAGE CITY
Practice Address - State:MD
Practice Address - Zip Code:20722-1613
Practice Address - Country:US
Practice Address - Phone:301-277-6550
Practice Address - Fax:301-277-6623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC921343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)