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Organization
EAGLE MEDICAL 360
Active
Organization
EAGLE MEDICAL 360
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY NICHOLAS (MANAGER)
(888) 533-2949
Entity
Organization
Contact information
Practice address
4600 POWDER MILL RD STE 450Z8, BELTSVILLE, MD 20705-2675
(888) 533-2949
Mailing address
4600 POWDER MILL RD STE 450Z8, BELTSVILLE, MD 20705-2675
(888) 533-2949
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
3416L0300X
Land Ambulance
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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