Provider Demographics
NPI:1497263164
Name:CARE MED AMBULANCE LLC
Entity Type:Organization
Organization Name:CARE MED AMBULANCE LLC
Other - Org Name:CARE MED AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AL-HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIYU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-593-8232
Mailing Address - Street 1:PO BOX 5815
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37406-0815
Mailing Address - Country:US
Mailing Address - Phone:423-498-3900
Mailing Address - Fax:423-498-3901
Practice Address - Street 1:2511 RIVERSIDE DR STE B5
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37406
Practice Address - Country:US
Practice Address - Phone:423-498-3900
Practice Address - Fax:423-498-3901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-16
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416A0800XTransportation ServicesAmbulanceAir Transport
No3416L0300XTransportation ServicesAmbulanceLand Transport