Provider Demographics
NPI:1255345880
Name:UNITED AMBULANCE ,LLC
Entity type:Organization
Organization Name:UNITED AMBULANCE ,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:PETEREK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-259-1919
Mailing Address - Street 1:PO BOX 681691
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78268-1691
Mailing Address - Country:US
Mailing Address - Phone:210-259-1919
Mailing Address - Fax:210-681-6905
Practice Address - Street 1:6746 POSS RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238
Practice Address - Country:US
Practice Address - Phone:210-259-1919
Practice Address - Fax:210-681-6905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800166341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance