Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI # | 1043875586 |
| LBN Legal business name | TRICARE AMBULANCE SERVICE L.L.C. |
| Authorized official | ELI HAYES - (MANAGING PARTNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/09/2019 |
| Last updated | 05/28/2020 - About 6 years ago |
| Identifiers | n/a |
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