Organization
MIDATLANTIC REGIONAL AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH A MICHAUD (DIRECTOR)
(757) 273-7360
Entity
Organization
Contact information
Practice address
549 PROGRESS LANE, SUITE 106, PORTSMOUTH, VA 23454-3476
(757) 273-7360
(757) 273-7557
Mailing address
P.O. BOX 896, PORTSMOUTH, VA 23705-0896
(757) 273-7360
(757) 273-7557
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1282
VA
341600000X
Ambulance
—
—
Other
Enumeration date
01/04/2008
Last updated
11/05/2012
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