Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI # | 1215995907 |
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| LBN Legal business name | EUREKA VOLUNTEER AMBULANCE SERVICE INC | ||||||||
| Authorized official | LESLIE GRAVES - (BILLING AGENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 05/02/2006 | ||||||||
| Last updated | 08/10/2010 - About 16 years ago | ||||||||
| Identifiers |
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