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Organization
AM-VAN INCORPORATED
Active
Organization
AM-VAN INCORPORATED
Active
Other names
All American Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES S FOWLER III (PRESIDENT)
(301) 952-1193
Entity
Organization
Contact information
Practice address
1315 MARLBORO RD, LOTHIAN, MD 20711-9541
(301) 952-1193
(301) 952-1280
Mailing address
1315 MARLBORO RD, LOTHIAN, MD 20711-9541
(301) 952-1193
(301) 952-1280
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
56
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025272200
—
DC
05
—
059878000
—
MD
01
—
182909
AETNA HMO
—
01
—
215435
UHC-MAMSI
—
01
—
263906
ANTHEM BCBS
VA
01
—
411001
PRIME HEALTH
—
01
—
54199
AMERICAID
—
01
—
590014619
RR-MEDICARE
—
01
—
81-00017
UNITED HEALTH CARE-EVERCARE
—
01
—
8317179
AETNA INDEMITY
—
01
—
906502
UNITED HEALTH CARE
—
01
—
F488
FEP BCBS PROGRAM
—
01
—
Z045
BCBS OF MARYLAND
MD
Enumeration date
12/24/2009
Last updated
06/07/2013
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