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Organization

TRANS AM AMBULANCE SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT A JEWELL (CHIEF REVENUE INTEGRATION OFFICER)
(844) 597-4911
Entity
Organization

Contact information

Practice address
305 N 8TH ST, OLEAN, NY 14760-9549
(716) 372-5871
(716) 372-1856
Mailing address
PO BOX 660886, DALLAS, TX 75266-0886
(716) 372-5871
(716) 372-1856

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
10251
NY
343900000X
Non-emergency Medical Transport (VAN)
32310
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00011213801
UNIVERA
NY
01
000586002001
BLUE CROSS BLUE SHIELD WN
NY
05
00931580
NY
05
1011821430001
PA
01
8190081
INDEPENDENT HEALTH
NY
Enumeration date
07/05/2005
Last updated
08/09/2023
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