Provider Demographics
NPI:1467455485
Name:AMERICAN AMBULANCE SERVICE, INC.
Entity Type:Organization
Organization Name:AMERICAN AMBULANCE SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-925-2000
Mailing Address - Street 1:PO BOX 221178
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33022-1178
Mailing Address - Country:US
Mailing Address - Phone:954-925-2000
Mailing Address - Fax:305-888-3229
Practice Address - Street 1:2570 S PARK RD
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-3814
Practice Address - Country:US
Practice Address - Phone:954-925-2000
Practice Address - Fax:305-888-3229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL002582341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA0009Medicare ID - Type Unspecified