Organization
MED-CARE AMBULANCE, INC.
Active
Other names
901 Ambulance, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE FARLEY (PRESIDENT/OWNER)
(901) 282-9079
Entity
Organization
Contact information
Practice address
5275 RALEIGH LAGRANGE, MEMPHIS, TN 38134
(901) 685-2212
Mailing address
5275 RALEIGH LAGRANGE, MEMPHIS, TN 38134
(901) 685-2212
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
3416L0300X
Land Ambulance
9953
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3572131
MEDICARE PTAN
TN
05
—
3572131
—
TN
Enumeration date
09/13/2005
Last updated
06/25/2024
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