Provider Demographics
NPI:1700824323
Name:QUALITY CARE AMBULANCE SVC INC
Entity Type:Organization
Organization Name:QUALITY CARE AMBULANCE SVC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:KNAUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-741-1183
Mailing Address - Street 1:470 ALLEGHENY DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-5004
Mailing Address - Country:US
Mailing Address - Phone:717-744-1183
Mailing Address - Fax:717-747-0973
Practice Address - Street 1:470 ALLEGHENY DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-5004
Practice Address - Country:US
Practice Address - Phone:717-741-1183
Practice Address - Fax:717-747-0973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05078341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017651330004Medicaid
PA027517Medicare ID - Type Unspecified