Organization
MEDCARE AMBULANCE INC
Active
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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