Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI # | 1629388350 |
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| LBN Legal business name | STAR CITY VOLUNTEER FIRE DEPT INC | ||||||||
| Authorized official | DONNIE GOODWIN - (HEAD TRUSTEE) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/15/2010 | ||||||||
| Last updated | 02/02/2012 - About 14 years ago | ||||||||
| Identifiers |
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