MEDICARE: B & C AMBULANCE

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	343900000X	Non-emergency Medical Transport (VAN)		OH

Other Identifiers

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

General Provider Information

NPI Number	:	1588796940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B & C AMBULANCE

Provider Business Mailing Address
First Line	:	3645 WARRENSVILLE CENTER RD STE 302
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-5276
Country	:	US
Telephone Number	:	216-921-3020
Fax Number	:

Provider Business Practice Location Address
First Line	:	3645 WARRENSVILLE CENTER RD STE 302
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-5276
Country	:	US
Telephone Number	:	216-921-3020
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	MR. WILLIAM S BRAY
Credential	:
Telephone Number	:	216-921-3020

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	08/22/2020

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Directions to “B & C AMBULANCE ” Practice Location

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