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TRANS AM AMBULANCE SERVICES, INC.

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Company Details

Name: TRANS AM AMBULANCE SERVICES, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 15 Apr 1985 (40 years ago)
Entity Number: 989397
ZIP code: 10005
County: New York
Place of Formation: New York
Address: 28 LIBERTY STREET, NEW YORK, NY, United States, 10005
Principal Address: 317 N. 8th Street, Olean, NY, United States, 14760

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
BRYAN GYBSON Chief Executive Officer 23200 N. PIMA ROAD, SCOTTSDALE, AZ, United States, 85255

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 28 LIBERTY ST., NEW YORK, NY, 10005

DOS Process Agent

Name Role Address
C T CORPORATION SYSTEM DOS Process Agent 28 LIBERTY STREET, NEW YORK, NY, United States, 10005

Unique Entity ID

Unique Entity ID:
JX75ESLN4HR6
CAGE Code:
44LY9
UEI Expiration Date:
2025-08-22

Business Information

Division Name:
PRIORITY AMBULANCE
Activation Date:
2024-08-26
Initial Registration Date:
2005-09-12

Commercial and government entity program

CAGE number:
44LY9
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-08-26
SAM Expiration:
2025-08-22

Contact Information

POC:
ROBERT JEWELL

National Provider Identifier

NPI Number:
1649277617
Certification Date:
2023-08-09

Authorized Person:

Name:
ROBERT A JEWELL
Role:
CHIEF REVENUE INTEGRATION OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
343900000X - Non-emergency Medical Transport (VAN)
Is Primary:
No
Selected Taxonomy:
3416L0300X - Land Ambulance
Is Primary:
Yes

Contacts:

Fax:
7163721856

Form 5500 Series

Employer Identification Number (EIN):
161245879
Plan Year:
2014
Number Of Participants:
58
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
59
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
55
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
53
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
43
Sponsors Telephone Number:

History

Start date End date Type Value
2025-04-07 2025-04-07 Address 305 N 8TH ST., STE 290, OLEAN, NY, 14760, USA (Type of address: Chief Executive Officer)
2025-04-07 2025-04-07 Address 1658 OLEAN PORTVILLE ROAD, OLEAN, NY, 14760, USA (Type of address: Chief Executive Officer)
2025-04-07 2025-04-07 Address 23200 N. PIMA ROAD, SCOTTSDALE, AZ, 85255, USA (Type of address: Chief Executive Officer)
2023-04-03 2025-04-07 Address 23200 N. PIMA ROAD, SCOTTSDALE, AZ, 85255, USA (Type of address: Chief Executive Officer)
2023-04-03 2023-04-03 Address 1658 OLEAN PORTVILLE ROAD, OLEAN, NY, 14760, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
250407000917 2025-04-07 BIENNIAL STATEMENT 2025-04-07
230403000578 2023-04-03 BIENNIAL STATEMENT 2023-04-01
210429060469 2021-04-29 BIENNIAL STATEMENT 2021-04-01
190415060398 2019-04-15 BIENNIAL STATEMENT 2019-04-01
SR-13672 2019-01-28 CERTIFICATE OF CHANGE (BY AGENT) 2019-01-28

USAspending Awards / Contracts

Procurement Instrument Identifier:
15B20919PUB210117
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
-5000.00
Base And Exercised Options Value:
-5000.00
Base And All Options Value:
-5000.00
Awarding Agency Name:
Department of Justice
Performance Start Date:
2019-02-26
Description:
075-19 MEDICAL CHARGES AMBULANCE FROM BRADFORD TO UPMC HAMOT.
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q523: MEDICAL- SURGERY
Procurement Instrument Identifier:
15B20919PUB210088
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
5151.92
Base And Exercised Options Value:
5151.92
Base And All Options Value:
5151.92
Awarding Agency Name:
Department of Justice
Performance Start Date:
2018-11-20
Description:
062-19 MEDICAL TRANSPORTATION FROM BRADFORD TO UPMC HAMOT
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q523: MEDICAL- SURGERY
Procurement Instrument Identifier:
15B20918PTB210130
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
4395.76
Base And Exercised Options Value:
4395.76
Base And All Options Value:
4395.76
Awarding Agency Name:
Department of Justice
Performance Start Date:
2017-11-24
Description:
IGF::OT::IGF 0083-18 MEDICAL AMBULANCE TRIP
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q523: MEDICAL- SURGERY

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State