Provider Demographics
NPI:1740213941
Name:AMBULANCE SERVICES, INC
Entity type:Organization
Organization Name:AMBULANCE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REIMBURSEMENT MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIE
Authorized Official - Middle Name:SMITH
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-296-4213
Mailing Address - Street 1:PO BOX 440
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:TN
Mailing Address - Zip Code:37185-0440
Mailing Address - Country:US
Mailing Address - Phone:931-296-4213
Mailing Address - Fax:931-296-5942
Practice Address - Street 1:112 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:TN
Practice Address - Zip Code:37185-1509
Practice Address - Country:US
Practice Address - Phone:931-296-4213
Practice Address - Fax:931-296-5942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4301341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3559848Medicaid
TN3559848Medicaid