Abundant Care Ambulance Service, Inc.
Organization Active NPI Land Ambulance · Memphis, TN
NPI 1235317843 · NPPES record last updated Jan 29, 2024
Key facts
- NPI
- 1235317843
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 10080 (TN)
- Legal business name
- ABUNDANT CARE AMBULANCE SERVICE, INC.
- Practice address
- 3590 Winchest CV
Memphis, TN 38115-8113 - Phone
- (901) 363-5686
- Fax
- (901) 363-1160
- NPI assigned
- Feb 6, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Stephan D Leggett
- Title
- Owner/President
- Phone
- (901) 363-5686
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080402000112 | TN | Part B Supplier - Ambulance Service Supplier | 7517044571 | Practice locations: Memphis, TN |
National Provider Directory
Locations
3590 Winchest Cv
Memphis, TN 38115
Phone (901) 363-5686
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 10080 | TN | Yes |
Addresses
Primary practice location
3590 Winchest CV
Memphis, TN 38115-8113
Mailing address
3590 Winchest CV
Memphis, TN 38115-8113
Phone (901) 363-5686
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.