Liberty Ambulance Service Inc

LBN: Liberty Ambulance Service Inc
Liberty Ambulance Service Inc is an health care organization with primary practice located at 1626 Atlantic University Cir , Jacksonville FL 32207-2227. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Liberty Ambulance Service Inc can be contacted via phone (904) 805-0293, or through Assaf, Michael A via phone (904) 721-0008.

Contact Information

Primary practice address
1626 Atlantic University Cir Jacksonville FL 32207-2227
Phone: (904) 805-0293
Fax: (904) 724-0226
Website:
Map and Directions
Authorized official contact:
Name: Assaf, Michael A
Phone: (904) 721-0008

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 002470 Florida

Profile Details

NPI number 1407850159
LBN Legal business name Liberty Ambulance Service Inc
DBA Doing business as
Authorized official Assaf, Michael A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2005
Last updated May 12th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407850159 NPPES
Florida MEDICAID 099501100

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