Allcare Medical Transport LLC
Organization Active NPI Land Ambulance · Bunnell, FL
NPI 1538759758 · NPPES record last updated Jan 22, 2021
Key facts
- NPI
- 1538759758
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- ALLCARE MEDICAL TRANSPORT LLC
- Practice address
- 4751 E Moody Blvd Ste 6E
Bunnell, FL 32110-7715 - Phone
- (386) 864-7145
- NPI assigned
- Jan 21, 2021
- Organization subpart
- No
Authorized official
- Name
- Jacob Moore
- Title
- Owner
- Phone
- (386) 864-7145
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210327000088 | FL | Part B Supplier - Ambulance Service Supplier | 9133536758 | Practice locations: Bunnell, FL |
National Provider Directory
Locations
4751 E Moody Blvd
Ste 6E
Bunnell, FL 32110
Phone (386) 864-7145
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
4751 E Moody Blvd Ste 6E
Bunnell, FL 32110-7715
Mailing address
PO Box 350382
Palm Coast, FL 32135-0382
Other names
- Allcare Ambulance Service, LLC
Other providers in Bunnell, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2021. 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.