| Organization Name: | MERCY MEDICAL TRANSPORTATION, INC. |
| NPI Number: | 1164517520 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDAMARI KIRKENDALL (BILLING SUPERVISOR) |
| Mailing Address: | 28205 North Lake Wohlford Rd Valley Center |
| State: | CA US |
| Postal Code: | 920826742 |
| Phone Number: | 7607519797 |
| Fax Number: | 7607518880 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |