Provider Demographics
NPI:1144349564
Name:ALS AMBULANCE SERVICES INC
Entity type:Organization
Organization Name:ALS AMBULANCE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GUSSIE
Authorized Official - Middle Name:STAFFORD
Authorized Official - Last Name:FELPS
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT DIRECTOR
Authorized Official - Phone:361-572-8215
Mailing Address - Street 1:PO BOX 5212
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77903
Mailing Address - Country:US
Mailing Address - Phone:361-572-8215
Mailing Address - Fax:361-572-0689
Practice Address - Street 1:208 MARILYN
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901
Practice Address - Country:US
Practice Address - Phone:361-572-8215
Practice Address - Fax:361-572-0689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX235011341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX517451Medicare ID - Type Unspecified