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NPI Code Detail

MEDICARE: MED-CARE AMBULANCE, INC.

MEDICARE: MED-CARE AMBULANCE, 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
13416L0300XLand Ambulance9953TN
2341600000XAmbulance

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
23572131OTHERTNMEDICARE PTAN
33572131OTHERTNCIGNA MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376538603
Entity Type Code : Organization
Provider Name (Legal Business Name) : MED-CARE AMBULANCE, INC.
Provider Business Mailing Address
First Line : 5275 RALEIGH LAGRANGE
Second Line :
City : MEMPHIS
State : TN
Zip : 38134
Country : US
Telephone Number : 901-685-2212
Fax Number :
Provider Business Practice Location Address
First Line : 5275 RALEIGH LAGRANGE
Second Line :
City : MEMPHIS
State : TN
Zip : 38134
Country : US
Telephone Number : 901-685-2212
Fax Number :
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : JAKE FARLEY
Credential :
Telephone Number : 901-282-9079
Provider Enumeration Date : 09/13/2005
Last Update Date : 06/25/2024

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Directions to “MED-CARE AMBULANCE, INC. ” Practice Location

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