Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider | |
Emergency Medical Technician, Basic |
146N00000X | |||
Emergency Medical Technician, Intermediate |
146M00000X | |||
Emergency Medical Technician, Paramedic |
146L00000X |
| NPI # | 1548090145 |
| LBN Legal business name | TOWN OF ROCKPORT |
| Authorized official | COREY BONNEVIE - (EMS SUPERVISOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/07/2024 |
| Last updated | 05/02/2025 - More than a year ago |
| Identifiers | n/a |
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TOWN OF ROCKPORT
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