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Organization

MEDCARE AMBULANCE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MITCHEL WADE SHANER (PRES)
(210) 337-7772
Entity
Organization

Contact information

Practice address
3503 S WW WHITE RD, SAN ANTONIO, TX 78222-5017
(210) 337-7772
(210) 337-9282
Mailing address
PO BOX 625, ADKINS, TX 78101-0625
(210) 337-7772
(210) 337-9282

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
015109
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
179039601
TX
01
AMB814
BLUECROSS BLUESHIELD TX
TX
01
P00718077
PALMETTO RAILROAD MEDICARE
Enumeration date
08/25/2006
Last updated
10/04/2013
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