Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Air Transport |
3416A0800X | 59 | Ambulance Service Provider |
| NPI # | 1619187085 |
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| LBN Legal business name | ST JOHN MEDICAL CENTER AIR AMBULANCE | ||||
| Authorized official | SISTER M. THERESE GOTTSCHALK - (PRESIDENT AND CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/23/2007 | ||||
| Last updated | 08/22/2020 - About 6 years ago | ||||
| Identifiers |
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