Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI # | 1063650745 |
| LBN Legal business name | SOUTH WEBSTER/ BLOOM TOWNSHIP JOINT FIRE DISTRICT |
| Authorized official | ELLIS COOK - (CHIEF) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/03/2009 |
| Last updated | 02/03/2009 - About 17 years ago |
| Identifiers | n/a |
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