Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider | |
Air Transport |
3416A0800X | 59 | Ambulance Service Provider | |
Bus |
347B00000X | |||
Non-emergency Medical Transport (VAN) |
343900000X | |||
Water Transport |
3416S0300X | 59 | Ambulance Service Provider |
| NPI Number | 1154399137 |
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| LBN Legal business name | MEDCORP EMS SOUTH LLC | ||||||||||||||||||||||||||||||||||||
| Authorized official | RICHARD BAGE - (PRESIDENT/CEO) | ||||||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||||||
| Enumeration date | 03/08/2006 | ||||||||||||||||||||||||||||||||||||
| Last updated | 11/07/2011 - About 15 years ago | ||||||||||||||||||||||||||||||||||||
| Identifiers |
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MEDCORP EMS SOUTH LLC
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