Provider Demographics
| NPI: | 1881806925 |
|---|---|
| Name: | ACCESS AMBULANCE SERVICES INC |
| Entity type: | Organization |
| Organization Name: | ACCESS AMBULANCE SERVICES INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | GARY |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | REIS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 401-726-9111 |
| Mailing Address - Street 1: | PO BOX 2221 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | PAWTUCKET |
| Mailing Address - State: | RI |
| Mailing Address - Zip Code: | 02861-0221 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 401-726-9111 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 290 ARMISTICE BLVD |
| Practice Address - Street 2: | |
| Practice Address - City: | PAWTUCKET |
| Practice Address - State: | RI |
| Practice Address - Zip Code: | 02861-2330 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 401-726-9111 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-05-03 |
| Last Update Date: | 2013-03-27 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| RI | 145 | 341600000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 341600000X | Transportation Services | Ambulance |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| RI | 145 | Other | LICENSE |