Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider | |
Ambulance |
341600000X | 59 | Ambulance Service Provider |
| NPI Number | 1538100284 |
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| LBN Legal business name | BLOOMING GROVE VOLUNTEER AMBULANCE CORPS INC | ||||||||
| Authorized official | BRIAN BATES - (BOARD MEMBER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/10/2006 | ||||||||
| Last updated | 01/30/2014 - About 12 years ago | ||||||||
| Identifiers |
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