Provider Demographics
NPI:1689984726
Name:MED STAR AMBULANCE, INC
Entity Type:Organization
Organization Name:MED STAR AMBULANCE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALESANDRA
Authorized Official - Middle Name:JAYE
Authorized Official - Last Name:ALMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-738-6900
Mailing Address - Street 1:66 ILLINOIS AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-3010
Mailing Address - Country:US
Mailing Address - Phone:401-738-6900
Mailing Address - Fax:
Practice Address - Street 1:66 ILLINOIS AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3010
Practice Address - Country:US
Practice Address - Phone:401-738-6900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI001363416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport