Provider Demographics
NPI:1568864346
Name:ADVANTAGE AMBULANCE INC
Entity Type:Organization
Organization Name:ADVANTAGE AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:JAYSON
Authorized Official - Last Name:HARTSOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-962-3826
Mailing Address - Street 1:PO BOX 177
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92878-0177
Mailing Address - Country:US
Mailing Address - Phone:866-962-3826
Mailing Address - Fax:951-808-8730
Practice Address - Street 1:2400 E 4TH ST
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2026
Practice Address - Country:US
Practice Address - Phone:866-962-3826
Practice Address - Fax:951-808-8730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance