| Organization Name: | SOUTH BEACH AMBULANCE SERVICE |
| NPI Number: | 1073670378 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANE MARIE MCNETT (SECRETARY BILLING CLERK) |
| Mailing Address: | 170 West Spokane Street Westport |
| State: | WA US |
| Postal Code: | 985951195 |
| Phone Number: | 3602689832 |
| Fax Number: | 3602681880 |
| NPI Enumeration Date: | 01/03/2007 |
| NPI Last Update Date: | 09/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 14X03 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |