Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider | |
Ambulance |
341600000X | 59 | Ambulance Service Provider |
| NPI # | 1265514756 |
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| LBN Legal business name | SARGENT COUNTY AMBULANCE FORMAN SQUAD | ||||||||||||
| Authorized official | TRENT MAHLER - (COORDINATOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 10/20/2006 | ||||||||||||
| Last updated | 11/19/2024 - More than a year ago | ||||||||||||
| Identifiers |
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