Organization
MEDFLEET AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY LYDELL GIBSON (PRESIDENT CEO)
(619) 222-2244
Entity
Organization
Contact information
Practice address
9960 CAMPO RD, 105, SPRING VALLEY, CA 91977-1605
(619) 222-2244
(619) 222-2843
Mailing address
9960 CAMPO RD, 105, SPRING VALLEY, CA 91977-1605
(619) 222-2244
(619) 222-2843
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1867
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE01176F
—
CA
Enumeration date
07/25/2006
Last updated
03/20/2012
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