Provider Demographics
NPI:1457636649
Name:FIL-AM AMBULANCE LLC
Entity Type:Organization
Organization Name:FIL-AM AMBULANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AVILA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:973-557-8285
Mailing Address - Street 1:4 JEROME CT
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-1652
Mailing Address - Country:US
Mailing Address - Phone:973-557-8285
Mailing Address - Fax:
Practice Address - Street 1:4 JEROME CT
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109
Practice Address - Country:US
Practice Address - Phone:973-557-8285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance