Provider Demographics
NPI:1730180357
Name:UNIVERSAL AMBULANCE SERVICE, INC.
Entity type:Organization
Organization Name:UNIVERSAL AMBULANCE SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:U
Authorized Official - Last Name:BARBERY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:401-273-8020
Mailing Address - Street 1:457 DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02908-2542
Mailing Address - Country:US
Mailing Address - Phone:401-273-8020
Mailing Address - Fax:401-454-0763
Practice Address - Street 1:457 DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02908-2542
Practice Address - Country:US
Practice Address - Phone:401-273-8020
Practice Address - Fax:401-454-0763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI82341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9962OtherBLUE CROSS
RI9009962Medicaid
RI003759OtherBLUE CHIP