Provider Demographics
NPI:1568088599
Name:MED CARE AMBULANCE LLC
Entity Type:Organization
Organization Name:MED CARE AMBULANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-710-1373
Mailing Address - Street 1:PO BOX 846
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-0846
Mailing Address - Country:US
Mailing Address - Phone:770-710-1373
Mailing Address - Fax:423-498-3901
Practice Address - Street 1:7633 KNIGHTDALE BLVD STE 103
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-9015
Practice Address - Country:US
Practice Address - Phone:770-710-1373
Practice Address - Fax:423-498-3901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport