Organization Name: | DELTA AMBULANCE CORP. |
NPI Number: | 1982672119 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY A BEALS (EXECUTIVE DIRECTOR) |
Mailing Address: | 30 Chase Ave Waterville |
State: | ME US |
Postal Code: | 049014624 |
Phone Number: | 2078724025 |
Fax Number: | 2078724029 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 215 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | ME |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |