Provider Demographics
NPI:1528265618
Name:AMERICARE EMS LLC
Entity type:Organization
Organization Name:AMERICARE EMS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-473-0920
Mailing Address - Street 1:PO BOX 1802
Mailing Address - Street 2:
Mailing Address - City:MENA
Mailing Address - State:AR
Mailing Address - Zip Code:71953-1800
Mailing Address - Country:US
Mailing Address - Phone:888-473-0920
Mailing Address - Fax:832-877-5040
Practice Address - Street 1:207 N. AVE J
Practice Address - Street 2:
Practice Address - City:ANSON
Practice Address - State:TX
Practice Address - Zip Code:79501
Practice Address - Country:US
Practice Address - Phone:888-473-0920
Practice Address - Fax:877-687-7471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPENDING3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX189928801Medicaid
TXAMB894OtherBCBS-TEXAS
AR=========OtherTAX EIN
TX189928801Medicaid