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NPI 1205863453 · live from the CMS NPI Registry

Eastern Shore Ambulance INC

Ambulance, Land Transport in Portsmouth, VA. National Provider Identifier 1205863453, active.

NPI record

NPI1205863453 Type 2 · organization
StatusActive
Primary specialtyAmbulance, Land Transport 3416L0300X
Practice location3301 Airline Blvd, Portsmouth, VA 23701
Practice phone866-343-7153
Mailing addressPo Box 538194, Atlanta, GA 30353
EnumeratedJune 26, 2006
Last updatedAugust 28, 2012
Authorized officialMatthew Ellis, Ar Manager
Other namesEastern Shore Ambulance Service INC

Taxonomies and licenses

TaxonomyCodeLicense
Ambulance, Land Transport primary3416L0300X535 (VA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.