Provider Demographics
NPI:1609148907
Name:AMERICAN AMBULETTE & AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:AMERICAN AMBULETTE & AMBULANCE SERVICE INC
Other - Org Name:D/B/A MEDCORP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-416-2663
Mailing Address - Street 1:2107 JERGENS RD.
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45404-1227
Mailing Address - Country:US
Mailing Address - Phone:419-727-0544
Mailing Address - Fax:419-727-8493
Practice Address - Street 1:745 MEDCORP DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-1376
Practice Address - Country:US
Practice Address - Phone:419-727-0544
Practice Address - Fax:419-727-8439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier