Provider Demographics
NPI:1578671228
Name:BEST CARE AMBULANCE, INC.
Entity Type:Organization
Organization Name:BEST CARE AMBULANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:410-476-3688
Mailing Address - Street 1:29468 LAURWAYN DR APT 11
Mailing Address - Street 2:
Mailing Address - City:TRAPPE
Mailing Address - State:MD
Mailing Address - Zip Code:21673-1676
Mailing Address - Country:US
Mailing Address - Phone:410-476-3866
Mailing Address - Fax:410-476-5907
Practice Address - Street 1:29468 LAURWAYN DR APT 11
Practice Address - Street 2:
Practice Address - City:TRAPPE
Practice Address - State:MD
Practice Address - Zip Code:21673-1676
Practice Address - Country:US
Practice Address - Phone:410-476-3866
Practice Address - Fax:410-476-5907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD973416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDMDAM20Medicare ID - Type Unspecified
MDAM20Medicare PIN