Provider Demographics
NPI:1629220397
Name:THE AMERICAN GREEN CROSS, INC
Entity Type:Organization
Organization Name:THE AMERICAN GREEN CROSS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERICK
Authorized Official - Middle Name:S
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-470-0033
Mailing Address - Street 1:2500 NW 79TH AVE.
Mailing Address - Street 2:SUITE 232
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122
Mailing Address - Country:US
Mailing Address - Phone:305-470-0033
Mailing Address - Fax:305-470-0044
Practice Address - Street 1:2500 NW 79TH AVE.
Practice Address - Street 2:SUITE 232
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122
Practice Address - Country:US
Practice Address - Phone:305-470-0033
Practice Address - Fax:305-470-0044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-14
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
343800000X, 343900000X, 347E00000X
FL343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker