| Organization Name: | MERCY MEDICAL TRANSPORTATION INC |
| NPI Number: | 1457497026 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD FRED ROESCH (PRESIDENT) |
| Mailing Address: | 5081 Hwy 140 Mariposa |
| State: | CA US |
| Postal Code: | 95338 |
| Phone Number: | 2099662178 |
| Fax Number: | 2099664901 |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 04/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | A195 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |