Provider Demographics
NPI:1497065676
Name:OCEAN STATE AMBULANCE
Entity Type:Organization
Organization Name:OCEAN STATE AMBULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOZOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:CST
Authorized Official - Phone:401-744-3942
Mailing Address - Street 1:5 WEBER AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4507
Mailing Address - Country:US
Mailing Address - Phone:401-744-3942
Mailing Address - Fax:401-722-5916
Practice Address - Street 1:5 WEBER AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4507
Practice Address - Country:US
Practice Address - Phone:401-744-3942
Practice Address - Fax:401-722-5916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)