Provider Demographics
NPI:1861650640
Name:AMERICARE MEDSERVICES INC.
Entity Type:Organization
Organization Name:AMERICARE MEDSERVICES INC.
Other - Org Name:AMERICARE AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SUMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:714-848-4273
Mailing Address - Street 1:1059 E BEDMAR ST
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-3601
Mailing Address - Country:US
Mailing Address - Phone:310-835-9390
Mailing Address - Fax:310-835-3926
Practice Address - Street 1:1924 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92029-1254
Practice Address - Country:US
Practice Address - Phone:310-835-9390
Practice Address - Fax:310-835-3926
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICARE MEDSERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA147341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTE00902FMedicaid
CAZA483BMedicare PIN