Provider Demographics
NPI:1720025646
Name:SPECIALTY CARE AMBULANCE SERVICE, INC
Entity Type:Organization
Organization Name:SPECIALTY CARE AMBULANCE SERVICE, INC
Other - Org Name:SPECIALTY CARE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-674-0500
Mailing Address - Street 1:10209 MARKET STREET RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77029-2325
Mailing Address - Country:US
Mailing Address - Phone:832-276-4308
Mailing Address - Fax:
Practice Address - Street 1:10209 MARKET STREET RD
Practice Address - Street 2:SUITE E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-2325
Practice Address - Country:US
Practice Address - Phone:832-276-4308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8001503416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB570Medicare PIN