Organization
PARK AMBULANCE SERVICE INC
Active
Other names
American Medical Response
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD VAN HORNE (PRESIDENT)
(303) 495-1220
Entity
Organization
Contact information
Practice address
930 FLUSHING AVE, BROOKLYN, NY 11206-4600
(718) 571-6565
(718) 571-6511
Mailing address
PO BOX 100296, ATLANTA, GA 30384-0296
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01864722
—
NY
01
—
104809700
US DOL - FECA
NY
01
—
900230903
AMERICHOICE VENDOR ID
NY
Enumeration date
05/12/2006
Last updated
09/17/2013
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