Active NPI
RG Ambulance Service, Inc.
- Land Ambulance
- Jacksonville, FL
National Provider Identifier
1649959883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- RG AMBULANCE SERVICE, INC.
- Practice address
- 740 Greeland Ave
Jacksonville, FL 32221-4404 - Phone
- (904) 356-2828
- NPI assigned
- Jul 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Maymon
- Title
- Vice President
- Phone
- (678) 684-9291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
740 Greeland Ave
Jacksonville, FL 32221-4404
Mailing address
2766 NW 62ND St
Miami, FL 33147-7662
Phone (305) 537-4164
Other names 1
- Century Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121120000419 | FL | Part B Supplier - Ambulance Service Supplier | 7012168438 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fort Pierce, FL; Jacksonville, FL; Orlando, FL |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- All County Ambulance
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Miami, FL
- NPI 1306196183
-
- Non-emergency Medical Transport (VAN)
- Miami, FL
- NPI 1932459625
-
- Land Ambulance
- Miami, FL
- NPI 1205183605
-
- Land Ambulance
- Fort Pierce, FL
- NPI 1568711299
Locations
4227 Saint Lucie Blvd
Fort Pierce, FL 34946
Phone (305) 925-2000
2570 S Park Rd
Hallandale Beach, FL 33009
Phone (888) 876-2100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689292800000",
"number": "1649959883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2766 NW 62ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331477662",
"telephone_number": "305-537-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 GREELAND AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322214404",
"telephone_number": "904-356-2828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RG AMBULANCE SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-14",
"last_updated": "2023-07-14",
"certification_date": "2023-07-11",
"status": "A",
"authorized_official_last_name": "MAYMON",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "678-684-9291"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Century Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.