Provider Demographics
NPI:1104145408
Name:BC AMBULANCE SERVICES INC
Entity type:Organization
Organization Name:BC AMBULANCE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIKWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-771-7443
Mailing Address - Street 1:9396 RICHMOND AVE
Mailing Address - Street 2:STE 359
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3950
Mailing Address - Country:US
Mailing Address - Phone:832-771-7443
Mailing Address - Fax:713-780-0761
Practice Address - Street 1:6260 WESTPARK DR
Practice Address - Street 2:STE 250
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7312
Practice Address - Country:US
Practice Address - Phone:832-771-7443
Practice Address - Fax:713-780-0761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-26
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000346341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX216019401Medicaid
TX216019401Medicaid
TX=========OtherEIN