Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Air Transport |
3416A0800X | 59 | Ambulance Service Provider |
| NPI Number | 1891872552 |
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| LBN Legal business name | QUAD CITY HELICOPTER EMERGENCY MEDICAL SERVICE | ||||||||||||||||||||||||||||
| Authorized official | GINA TAKACS - (ADMINISTRATOR) | ||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||
| Enumeration date | 11/01/2006 | ||||||||||||||||||||||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||||||||||||||||||||||
| Identifiers |
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