Provider Demographics
NPI:1952327751
Name:ACTION CARE AMBULANCE, INC
Entity Type:Organization
Organization Name:ACTION CARE AMBULANCE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:CRYSTAL
Authorized Official - Last Name:VATTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-870-4705
Mailing Address - Street 1:14854 E HINSDALE AVE
Mailing Address - Street 2:SUITE H
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4058
Mailing Address - Country:US
Mailing Address - Phone:720-870-4705
Mailing Address - Fax:720-870-4710
Practice Address - Street 1:14854 E HINSDALE AVE
Practice Address - Street 2:SUITE H
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-4058
Practice Address - Country:US
Practice Address - Phone:720-870-4705
Practice Address - Fax:720-870-4710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO63909766Medicaid
COC60433Medicare ID - Type Unspecified