Provider Demographics
NPI:1205503364
Name:UNITED AMBULANCE SERVICES
Entity type:Organization
Organization Name:UNITED AMBULANCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:IAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:650-417-1127
Mailing Address - Street 1:500 WESTOVER DR # 11474
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-8941
Mailing Address - Country:US
Mailing Address - Phone:650-417-1127
Mailing Address - Fax:
Practice Address - Street 1:CARETERA 148
Practice Address - Street 2:CHAPALA
Practice Address - City:CHAPALA
Practice Address - State:JALISCO
Practice Address - Zip Code:45920
Practice Address - Country:MX
Practice Address - Phone:331-071-5051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2021-000969906OtherOTHER