Provider Demographics
NPI:1578619037
Name:ADVANCED MEDICAL TRANSPORTS LLC
Entity Type:Organization
Organization Name:ADVANCED MEDICAL TRANSPORTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-241-7491
Mailing Address - Street 1:90 COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-3046
Mailing Address - Country:US
Mailing Address - Phone:401-241-7491
Mailing Address - Fax:401-921-5937
Practice Address - Street 1:90 COLORADO AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3046
Practice Address - Country:US
Practice Address - Phone:401-241-7491
Practice Address - Fax:401-921-5937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI1373416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI412397OtherBLUE CHIP
RI81-00287OtherUNITED HEALTH
RI29334OtherRI BLUE CROSS
RI9003993Medicaid