Provider Demographics
NPI:1518295450
Name:AMERICAN AMBULANCE
Entity Type:Organization
Organization Name:AMERICAN AMBULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:J
Authorized Official - Last Name:LYBRAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-754-1418
Mailing Address - Street 1:4507 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-5973
Mailing Address - Country:US
Mailing Address - Phone:803-754-1418
Mailing Address - Fax:803-691-8934
Practice Address - Street 1:4507 MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-5973
Practice Address - Country:US
Practice Address - Phone:803-754-1418
Practice Address - Fax:803-691-8934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-04
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC200939243383813416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport