Provider Demographics
NPI:1598867970
Name:QUALITY CARE AMBULANCE SERVICE INC.
Entity type:Organization
Organization Name:QUALITY CARE AMBULANCE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLORINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELEON
Authorized Official - Suffix:
Authorized Official - Credentials:LP RN
Authorized Official - Phone:361-527-3933
Mailing Address - Street 1:901 W. VIGGIE ST
Mailing Address - Street 2:P. O. BOX 156
Mailing Address - City:HEBBRONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78361
Mailing Address - Country:US
Mailing Address - Phone:361-527-3933
Mailing Address - Fax:361-527-4771
Practice Address - Street 1:901 W VIGGIE ST
Practice Address - Street 2:
Practice Address - City:HEBBRONVILLE
Practice Address - State:TX
Practice Address - Zip Code:78361-2361
Practice Address - Country:US
Practice Address - Phone:361-527-3933
Practice Address - Fax:361-527-4771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX517645Medicare ID - Type Unspecified