Provider Demographics
NPI:1447420047
Name:ADVANTAGE AMBULANCE SERVICE, LLC.
Entity Type:Organization
Organization Name:ADVANTAGE AMBULANCE SERVICE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-212-2784
Mailing Address - Street 1:PO BOX 6768
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77491-6768
Mailing Address - Country:US
Mailing Address - Phone:832-212-2784
Mailing Address - Fax:832-321-3932
Practice Address - Street 1:1838 SNAKE RIVER RD
Practice Address - Street 2:SUITE B
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7754
Practice Address - Country:US
Practice Address - Phone:832-732-2148
Practice Address - Fax:832-321-3932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport