Provider Demographics
NPI:1649277617
Name:TRANS AM AMBULANCE SERVICES, INC.
Entity type:Organization
Organization Name:TRANS AM AMBULANCE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF REVENUE INTEGRATION OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:JEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-597-4911
Mailing Address - Street 1:PO BOX 660886
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75266-0886
Mailing Address - Country:US
Mailing Address - Phone:716-372-5871
Mailing Address - Fax:716-372-1856
Practice Address - Street 1:305 N 8TH ST
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-9549
Practice Address - Country:US
Practice Address - Phone:716-372-5871
Practice Address - Fax:716-372-1856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-05
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY32310343900000X
NY102513416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000586002001OtherBLUE CROSS BLUE SHIELD WN
NY8190081OtherINDEPENDENT HEALTH
NY00931580Medicaid
PA1011821430001Medicaid
NY00011213801OtherUNIVERA
PA1011821430001Medicaid
NY8190081OtherINDEPENDENT HEALTH