Med-Care Ambulance, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

MED-CARE AMBULANCE, INC.

Doing business as

901 Ambulance, Inc.

Practice address

5275 Raleigh Lagrange
Memphis, TN 38134

Phone

(901) 685-2212

NPI assigned

Sep 13, 2005

Last updated

Jun 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jake Farley

Title

President/Owner

Phone

(901) 282-9079

Specialties & licenses 2

Addresses

Other names 1

• 901 Ambulance, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1376538603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 RALEIGH LAGRANGE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38134",
            "telephone_number": "901-685-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 RALEIGH LAGRANGE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38134",
            "telephone_number": "901-685-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-CARE AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2024-06-25",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "901-282-9079"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "9953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "901 Ambulance, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Memphis, TN
• Providers in Memphis, TN by specialty
• Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.