Provider Demographics
NPI:1679733752
Name:ALL ACROSS AMERICA AMBULANCE SERVICE
Entity type:Organization
Organization Name:ALL ACROSS AMERICA AMBULANCE SERVICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LLC PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:STRANGE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-573-8527
Mailing Address - Street 1:PO BOX 1091
Mailing Address - Street 2:
Mailing Address - City:LA MARQUE
Mailing Address - State:TX
Mailing Address - Zip Code:77568-1091
Mailing Address - Country:US
Mailing Address - Phone:281-573-8527
Mailing Address - Fax:281-404-5631
Practice Address - Street 1:5018 SAINT KITTS
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-6183
Practice Address - Country:US
Practice Address - Phone:281-573-8527
Practice Address - Fax:281-404-5631
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL ACROSS AMERICA HOME HEALTH SERVICESLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-12
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10001363416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX199629001Medicaid
TXAMB999OtherBCBS
TX199629001Medicaid