Provider Demographics
NPI:1871560086
Name:GOLD CROSS AMBULANCE SERVICES INC & SUBSIDIARIES
Entity type:Organization
Organization Name:GOLD CROSS AMBULANCE SERVICES INC & SUBSIDIARIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-606-3525
Mailing Address - Street 1:PO BOX 1893
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85252-1893
Mailing Address - Country:US
Mailing Address - Phone:330-744-4161
Mailing Address - Fax:330-740-7190
Practice Address - Street 1:1122 E MIDLOTHIAN BLVD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44502-2839
Practice Address - Country:US
Practice Address - Phone:330-744-4161
Practice Address - Fax:330-740-7190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5000223416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH406590625OtherRAILROAD MEDICARE
OH2177255Medicaid
OH81-00297OtherUNITED HEALTH CARE
OH000000336030OtherANTHEM PROVIDER #
OH=========OtherGLOBAL PROVIDER #
OH406590625OtherRAILROAD MEDICARE