Active NPI
Ambulance Service, Inc.
- Land Ambulance
- Jacksonville, FL
National Provider Identifier
1679662886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1602
- Legal business name
- AMBULANCE SERVICE, INC.
- Practice address
- 5995 Philips Hwy
Jacksonville, FL 32216-5916 - Phone
- (904) 733-6600
- Fax
- (904) 899-9024
- NPI assigned
- Oct 12, 2006
- Last updated
- Aug 22, 2020
- 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
- Mrs. Kathy S Wallace
- Title
- President
- Phone
- (904) 733-6600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1602 | FL | Primary |
Addresses
Primary practice location
5995 Philips Hwy
Jacksonville, FL 32216-5916
Mailing address
5995 Philips Hwy
Jacksonville, FL 32216-5916
Phone (904) 733-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08813400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
5025 Stepp Ave
Jacksonville, FL 32216
Phone (904) 733-6602
5995 Philips Hwy
Jacksonville, FL 32216
Phone (904) 733-6600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679662886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5995 PHILIPS HWY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322165916",
"telephone_number": "904-733-6600",
"fax_number": "904-899-9024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5995 PHILIPS HWY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322165916",
"telephone_number": "904-733-6600",
"fax_number": "904-899-9024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBULANCE SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-733-6600",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "FL",
"license": "1602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08813400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
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- Emma Ambler, LMHC
- Michel Ambroise
- Garrett Levi Ambuehl, AGPCNP-C
- Ambulatory Care Specialists of Jacksonville LLC
- Amd Counseling & Consulting, LLC (Tapestry Behavioral Health)
- Amed Care Connection.Org LLC
- Lourice A Ameen, MSN, APRN, FNP-C
- Amelia Anesthesia Associates LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.