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Organization

LIFECARE AMBULANCE SERVICE, INC.

Active
Find providers by NPI
Organization

LIFECARE AMBULANCE SERVICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA ANN CARICO (ADMINISTRATIVE ASSISTANT)
(276) 679-4375
Entity
Organization

Contact information

Practice address
1728 NORTON ROAD SW, WISE, VA 24293-1069
(276) 679-4375
(276) 679-2866
Mailing address
PO BOX 1069, 1728 NORTON ROAD SW, WISE, VA 24293-1069
(276) 679-4375
(276) 679-2866

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
470
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ANTHEM
096163
VA
Enumeration date
08/19/2005
Last updated
03/11/2008
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