1205503364 NPI number — UNITED AMBULANCE SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205503364 NPI number — UNITED AMBULANCE SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNITED AMBULANCE SERVICES
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:
1205503364
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/28/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 WESTOVER DR # 11474
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANFORD
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27330-8941
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
188-449-7799
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARETERA 148
Provider Second Line Business Practice Location Address:
CHAPALA
Provider Business Practice Location Address City Name:
CHAPALA
Provider Business Practice Location Address State Name:
JALISCO
Provider Business Practice Location Address Postal Code:
45920
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
331-071-5051
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/26/2021

Additional Information

Authorized Official

Authorized Official Last Name:
EZQUERRA
Authorized Official First Name:
JAVIER
Authorized Official Middle Name:
EZQUERRA
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
801-896-1181

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2021-000969906 . This is a "OTHER" identifier . This identifiers is of the category "OTHER".




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