MEDICARE: MED HEALTH AMBULANCE SERVICES, 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	341600000X	Ambulance	800112	TX

General Provider Information

NPI Number	:	1295893006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED HEALTH AMBULANCE SERVICES, INC.

Provider Business Mailing Address
First Line	:	3001 WICHITA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7719
Country	:	US
Telephone Number	:	713-661-6607
Fax Number	:	713-522-0333

Provider Business Practice Location Address
First Line	:	3001 WICHITA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7719
Country	:	US
Telephone Number	:	713-661-6607
Fax Number	:	713-522-0333

Authorized Official
Title or Position	:	CEO
Name	:	MRS. FAITH VONTRICE COLEMAN
Credential	:
Telephone Number	:	713-661-6607

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	08/22/2020

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