Provider Demographics
NPI:1922076314
Name:GOLD CROSS AMBULANCE SERVICES, INC.
Entity Type:Organization
Organization Name:GOLD CROSS AMBULANCE SERVICES, INC.
Other - Org Name:RURAL METRO AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP OF REVENUE MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-703-2294
Mailing Address - Street 1:PO BOX 100217
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-0217
Mailing Address - Country:US
Mailing Address - Phone:800-913-9106
Mailing Address - Fax:
Practice Address - Street 1:1122 E MIDLOTHIAN BLVD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44502-2839
Practice Address - Country:US
Practice Address - Phone:330-744-4161
Practice Address - Fax:330-740-7190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH500022341600000X, 3416L0300X, 3416L0300X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH406590625OtherRAILROAD
OH2177255Medicaid
OH9060162OtherMEDICARE ID-TYPE UNSPECIF
OH9060162Medicare PIN
OH9060162OtherMEDICARE ID-TYPE UNSPECIF
OH2177255Medicaid