# AMERICAN SPECIALTY AMBULANCE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** American Specialty Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740653005
- **Authorized official:** GIA S SMITH RN (CEO)
- **Authorized official phone:** (209) 505-1035

## Contact information

- **Practice address:** 4120 DALE RD STE J8-140, MODESTO, CA 95356-9232
- **Practice address phone:** (209) 505-1035
- **Practice address fax:** (209) 846-0345
- **Mailing address:** 4120 DALE RD STE J8-140, MODESTO, CA 95356-9232
- **Mailing address phone:** (209) 505-1035
- **Mailing address fax:** (209) 846-0345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2015
- **Last updated:** 11/09/2015