Organization Name: | COLUMBIA COUNTY AMBULANCE SERVICE CO INC |
NPI Number: | 1053361295 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMANDA NEWTON (OWNER) |
Mailing Address: | 218 S Pine Magnolia |
State: | AR US |
Postal Code: | 717533642 |
Phone Number: | 8702347371 |
Fax Number: | 8702342992 |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 06/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 576 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |