Provider Demographics
NPI:1457679524
Name:AMBUCARE AMBULANCE SERVICE INC.
Entity Type:Organization
Organization Name:AMBUCARE AMBULANCE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:E
Authorized Official - Last Name:CANEZAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-421-9494
Mailing Address - Street 1:3537 SPENCERVILLE RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1500
Mailing Address - Country:US
Mailing Address - Phone:301-421-9494
Mailing Address - Fax:301-421-9330
Practice Address - Street 1:3537 SPENCERVILLE RD.
Practice Address - Street 2:SUITE 5
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-1500
Practice Address - Country:US
Practice Address - Phone:301-421-9494
Practice Address - Fax:301-421-9330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport