Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI # | 1982684908 |
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| LBN Legal business name | VILLAGE OF BLOOMDALE | ||||||||||||
| Authorized official | WILLIAM MARECHES - (CHIEF OPERATING OFFICER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 01/17/2006 | ||||||||||||
| Last updated | 11/15/2023 - About 3 years ago | ||||||||||||
| Identifiers |
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