Provider Demographics
NPI:1912162827
Name:HOSPITAL AMBULANCE, LLC
Entity type:Organization
Organization Name:HOSPITAL AMBULANCE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REIMBURSEMENT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAELA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-332-1879
Mailing Address - Street 1:475 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6459
Mailing Address - Country:US
Mailing Address - Phone:908-730-8000
Mailing Address - Fax:908-730-8005
Practice Address - Street 1:120 DORSA AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1003
Practice Address - Country:US
Practice Address - Phone:973-535-8500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AHS INVESTMENT CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-21
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJEAG1001683416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport