Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider | |
Ambulance |
341600000X | 59 | Ambulance Service Provider |
| NPI # | 1043430754 |
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| LBN Legal business name | LIBERTY VOLUNTEER AMBULANCE SERVICE | ||||||||
| Authorized official | EARLE ALBERT - (DEPUTY CHIEF) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/26/2007 | ||||||||
| Last updated | 11/11/2021 - About 5 years ago | ||||||||
| Identifiers |
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