Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Air Transport |
3416A0800X | 59 | Ambulance Service Provider |
| NPI Number | 1073517942 |
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| LBN Legal business name | MIDWEST MEDFLIGHT | ||||||||
| Authorized official | JUDY KETTENSTOCK - (PROGRAM DIRECTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/09/2005 | ||||||||
| Last updated | 04/20/2008 - About 18 years ago | ||||||||
| Identifiers |
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