Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI # | 1598787467 |
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| LBN Legal business name | FORK RESCUE SQUAD | ||||||||
| Authorized official | SAMMY BUCHANAN - (CHAIRMAN OF THE BOARD OF DIRECTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/23/2006 | ||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||
| Identifiers |
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