Provider Demographics
NPI:1982993713
Name:AMT - GROVE LLC
Entity Type:Organization
Organization Name:AMT - GROVE LLC
Other - Org Name:AMT AMBULANCE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-860-7344
Mailing Address - Street 1:541 CURTOLA PKWY STE C
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-6924
Mailing Address - Country:US
Mailing Address - Phone:707-552-1193
Mailing Address - Fax:707-552-1153
Practice Address - Street 1:541 CURTOLA PKWY STE C
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-6924
Practice Address - Country:US
Practice Address - Phone:707-552-1193
Practice Address - Fax:707-552-1153
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AAMEDTRANS - GROVE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport