Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI Number | 1174672844 |
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| LBN Legal business name | RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS | ||||
| Authorized official | DIANE ERICKSON - (HEALTH SERVICES ADMINSTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/10/2007 | ||||
| Last updated | 07/07/2022 - About 4 years ago | ||||
| Identifiers |
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