Provider Demographics
NPI:1811363039
Name:SAFETY NET AMBULETTE INC.
Entity Type:Organization
Organization Name:SAFETY NET AMBULETTE INC.
Other - Org Name:SAFETY NET INC,
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:RAMON
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-949-2432
Mailing Address - Street 1:3907 KENYON CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-2772
Mailing Address - Country:US
Mailing Address - Phone:901-949-2432
Mailing Address - Fax:
Practice Address - Street 1:3907 KENYON CV
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-2772
Practice Address - Country:US
Practice Address - Phone:901-949-2432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)