Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI Number | 1871739755 |
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| LBN Legal business name | SACRED MOUNTAIN MEDICAL SERVICE | ||||||||||||||||||||||||||||
| Authorized official | DANNY BARNEY - (CEO) | ||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||
| Enumeration date | 12/26/2008 | ||||||||||||||||||||||||||||
| Last updated | 12/26/2008 - About 17 years ago | ||||||||||||||||||||||||||||
| Identifiers |
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