Provider Demographics
NPI:1912299082
Name:AMERICAN AMBULANCE SERVICE, INC.
Entity Type:Organization
Organization Name:AMERICAN AMBULANCE SERVICE, INC.
Other - Org Name:AMERICAN AMBULANCE OF THE TREASURE COAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARGUELLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-883-8338
Mailing Address - Street 1:PO BOX 221178
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33022-1178
Mailing Address - Country:US
Mailing Address - Phone:305-925-2000
Mailing Address - Fax:305-357-9324
Practice Address - Street 1:4227 SAINT LUCIE BLVD
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34946-9000
Practice Address - Country:US
Practice Address - Phone:888-743-8080
Practice Address - Fax:305-888-3229
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN AMBULANCE SERVICE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-09
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL31273416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA0009AMedicare PIN