MEDICARE: AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance
2	341600000X	Ambulance

General Provider Information

NPI Number	:	1346359189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE INC

Provider Business Mailing Address
First Line	:	PO BOX 847343
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-7343
Country	:	US
Telephone Number	:	800-913-9106
Fax Number	:

Provider Business Practice Location Address
First Line	:	11911 RADIUM ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2714
Country	:	US
Telephone Number	:	210-599-9208
Fax Number	:

Authorized Official
Title or Position	:	SVP OF REVENUE MANAGEMENT
Name	:	ERIC THOMAS
Credential	:
Telephone Number	:	833-703-2294

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	03/25/2024

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