Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI # | 1881656825 |
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| LBN Legal business name | COATS GROVE FIRE & RESCUE INC | ||||||||||||||||
| Authorized official | KEVIN JERNIGAN - (CHIEF) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||
| Enumeration date | 04/05/2006 | ||||||||||||||||
| Last updated | 04/11/2011 - About 15 years ago | ||||||||||||||||
| Identifiers |
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