Provider Demographics
NPI:1851397137
Name:MED-CARE AMBULANCE LLC
Entity Type:Organization
Organization Name:MED-CARE AMBULANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-738-1224
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:401-738-1224
Mailing Address - Fax:401-738-0193
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:401-738-1224
Practice Address - Fax:401-738-0193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI01333416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI23149-3OtherBLUE CROSS/BLUE SHEILD RI
GAP00020647OtherRAILROAD MEDICARE
RI409963OtherBLUE CHIP RI
RIMC46146Medicaid
MA1700081OtherMASS HEALTH
MA1700081OtherMASS HEALTH
RIMC46146Medicaid