# GOOD SHEPHERD AMBULANCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750429221
- **Authorized official:** MISS REBECCA HESTER (VICE PRESIDENT)
- **Authorized official phone:** (216) 240-9474

## Contact information

- **Practice address:** 3570 W 140TH ST, CLEVELAND, OH 44111-2410
- **Practice address phone:** (216) 476-9200
- **Practice address fax:** (216) 476-9202
- **Mailing address:** 3570 W 140TH ST, CLEVELAND, OH 44111-2410
- **Mailing address phone:** (216) 476-9200
- **Mailing address fax:** (216) 476-9202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 02/04/2007
- **Last updated:** 08/22/2020
