Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI # | 1124024070 |
||||||||
| LBN Legal business name | CITY OF ETNA | ||||||||
| DBA Doing business as | CITY OF ETNA AMBULANCE | ||||||||
| Authorized official | SARAH GRIGGS - (CITY CLERK) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/24/2005 | ||||||||
| Last updated | 10/18/2016 - About 10 years ago | ||||||||
| Identifiers |
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CITY OF ETNA AMBULANCE
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