Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI Number | 1508329145 |
| LBN Legal business name | POLK COUNTY RESCUE SQUAD |
| Authorized official | JAMES SMITH - (CAPTAIN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/10/2019 |
| Last updated | 09/30/2020 - About 6 years ago |
| Identifiers | n/a |
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POLK COUNTY RESCUE SQUAD
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