Provider Demographics
NPI:1801150644
Name:ST CHRISTINA'S AMBULANCE SERVICE LLC
Entity type:Organization
Organization Name:ST CHRISTINA'S AMBULANCE SERVICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GALVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-557-4034
Mailing Address - Street 1:10 BOBBY GREEN PL
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-3468
Mailing Address - Country:US
Mailing Address - Phone:423-557-4034
Mailing Address - Fax:
Practice Address - Street 1:10 BOBBY GREEN PL
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-3468
Practice Address - Country:US
Practice Address - Phone:423-557-4034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport