Provider Demographics
NPI:1639911233
Name:PRN AMBULANCE, LLC
Entity type:Organization
Organization Name:PRN AMBULANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:OSSES
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:678-458-2713
Mailing Address - Street 1:1945 DR BRAMBLETT RD
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30028-2852
Mailing Address - Country:US
Mailing Address - Phone:678-656-6477
Mailing Address - Fax:770-470-2205
Practice Address - Street 1:1945 DR BRAMBLETT RD STE 2
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30028-2852
Practice Address - Country:US
Practice Address - Phone:678-656-6477
Practice Address - Fax:770-470-2205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport