Provider Demographics
NPI:1679038202
Name:AMCARE AMBULANCE LLC
Entity Type:Organization
Organization Name:AMCARE AMBULANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALFONSO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZERTUCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-719-2495
Mailing Address - Street 1:904 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-5808
Mailing Address - Country:US
Mailing Address - Phone:830-719-2495
Mailing Address - Fax:
Practice Address - Street 1:904 S MAIN ST
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-5808
Practice Address - Country:US
Practice Address - Phone:830-719-2495
Practice Address - Fax:830-254-5400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-07
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance