Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI Number | 1699978312 |
||||||||
| LBN Legal business name | CITY OF PERU | ||||||||
| Authorized official | BRENT LOTTMAN - (RESCUE CAPTAIN) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/08/2007 | ||||||||
| Last updated | 04/20/2008 - About 18 years ago | ||||||||
| Identifiers |
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