Provider Demographics
NPI:1700956000
Name:AMERICARE AMBULANCE SERVICE INC.
Entity Type:Organization
Organization Name:AMERICARE AMBULANCE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OTIS
Authorized Official - Middle Name:H
Authorized Official - Last Name:JONES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:901-363-2423
Mailing Address - Street 1:3182 JEAN DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-2703
Mailing Address - Country:US
Mailing Address - Phone:901-363-5686
Mailing Address - Fax:901-794-9261
Practice Address - Street 1:3182 JEAN DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-2703
Practice Address - Country:US
Practice Address - Phone:901-363-5686
Practice Address - Fax:901-794-9261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNEMS00000100053416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3574485Medicaid
TN000000016632OtherTLC MMCC
TN4029455OtherBLUE CROSS BLUE SHIELD
TN=========OtherUNISON
TN000000016632OtherTLC MMCC
TN=========OtherCIGNA
TN3574485Medicaid
TN000000016632OtherTLC MMCC