Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI # | 1265546600 |
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| LBN Legal business name | VILLAGE OF CAMPBELLSPORT | ||||
| Authorized official | DAVID SULIK - (BILLING MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/19/2006 | ||||
| Last updated | 10/10/2007 - About 19 years ago | ||||
| Identifiers |
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