Ambitrans Medical Transport , Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

ALS0804 Issued in FL

Legal business name

AMBITRANS MEDICAL TRANSPORT , INC.

Practice address

4351 Pinnacle St
Port Charlotte, FL 33980-2902

Phone

(941) 743-3665

Fax

(941) 629-2193

NPI assigned

Jun 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Alan J. Skavroneck

Title

Chief Operating Officer

Phone

(941) 613-6427

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1255376497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 PINNACLE ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802902",
            "telephone_number": "941-743-3665",
            "fax_number": "941-629-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 PINNACLE ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802902",
            "telephone_number": "941-743-3665",
            "fax_number": "941-629-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBITRANS MEDICAL TRANSPORT , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "SKAVRONECK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "941-613-6427",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "ALS0804",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "2639",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N176070",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400029300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Land Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.