Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider | |
Ambulance |
341600000X | 59 | Ambulance Service Provider |
| NPI # | 1437139243 |
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| LBN Legal business name | SOUTHERN BERKSHIRE VOLUNTEER AMBULANCE SQUAD INC | ||||||||||||||||||||||||||||||||||||||||||||||||
| Authorized official | KEVIN WALL - (CHIEF OF OPERATIONS) | ||||||||||||||||||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||||||||||||||||||
| Enumeration date | 01/18/2006 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Last updated | 12/07/2023 - About 2 years ago | ||||||||||||||||||||||||||||||||||||||||||||||||
| Identifiers |
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