Organization
ISC MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LEON CHASE (OWNER)
(757) 638-4500
Entity
Organization
Contact information
Practice address
764 MCGUIRE PL, NEWPORT NEWS, VA 23601-1630
(757) 638-4500
Mailing address
1215 SPRINGWELL PL, NEWPORT NEWS, VA 23608-7717
(757) 715-3496
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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