1164405171 NPI number — A-1 AMBULANCE & TRANSPORT, INC.

Table of content: (NPI 1164405171)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164405171 NPI number — A-1 AMBULANCE & TRANSPORT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A-1 AMBULANCE & TRANSPORT, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164405171
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/07/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
30140 BACH DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLOTTE HALL
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20622-3002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-318-0333
Provider Business Mailing Address Fax Number:
240-318-0040

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7720 OLD ALEXANDRIA FERRY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLINTON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20735-1839
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-318-0333
Provider Business Practice Location Address Fax Number:
240-318-0040
Provider Enumeration Date:
11/23/2005

Additional Information

Authorized Official

Authorized Official Last Name:
EASTER
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
S
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
240-318-0333

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  073 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com