Provider Demographics
NPI:1790844785
Name:AMERICAN AMBULANCE SERVICE, INC.
Entity type:Organization
Organization Name:AMERICAN AMBULANCE SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-886-1463
Mailing Address - Street 1:1 AMERICAN WAY
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-5613
Mailing Address - Country:US
Mailing Address - Phone:860-886-1463
Mailing Address - Fax:860-887-1138
Practice Address - Street 1:1 AMERICAN WAY
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-5613
Practice Address - Country:US
Practice Address - Phone:860-886-1463
Practice Address - Fax:860-887-1138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI87 CLASS AB3416L0300X
CTL059P1343900000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI0000093Medicaid
CT2V6900OtherHEALTHNET
RI0000025706-4OtherBLUE CROSS BLUE SHIELD RI
CT690924OtherCONNECTICARE
NY118023OtherPREFERRED ONE
RI409504-002OtherRI BLUECHIP
CTANC913OtherOXFORD
MA0000ZMZ929OtherMA BLUE CROSS BLUE SHIELD
PA203512OtherBLUE CROSS BLUE SHIELD PA
MA13467OtherFALLON
CT004072427Medicaid
CTP00225074OtherRAILROAD MEDICARE
MA7700164Medicaid
CTAMAM360OtherCCCI
3200191OtherGHI
CT710L104A2CT02OtherBLUE CROSS
CTP00225074OtherRAILROAD MEDICARE