Organization
AM-VAN INCORPORATED
Active
Other names
All American Ambulance & Transport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES S FOWLER III (PRESIDENT/OWNER)
(301) 952-1193
Entity
Organization
Contact information
Practice address
1315 MARLBORO RD, LOTHIAN, MD 20711-9541
(301) 952-1193
(301) 952-0302
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
343900000X
Non-emergency Medical Transport (VAN)
2275
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025272200
—
DC
05
—
059878000
—
MD
01
—
182909
AETNA HMO
MD
01
—
215435
MAMSI/ALLIANCE
MD
01
—
263906
ANTHEM/TRIGON BCBS OF VA
MD
01
—
54199
AMERICAID
MD
01
—
590014619
RAIL ROAD MEDICARE
—
01
—
800296
DEPT OF LABOR
MD
01
—
8100017
EVERCARE
MD
01
—
8317179
AETNA PPO
MD
01
—
906502
UNITED HEALTH CARE
MD
01
—
F4880001
CAREFIRST BCBS OF MD/DC
MD
01
—
Z045AL
BCBS OF MD LOCAL PLAN
MD
Enumeration date
07/09/2006
Last updated
10/31/2013
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