Organization
MEDSTAR AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA PHELPS MOORE (PRESIDENT-MANAGER)
(757) 653-2873
Entity
Organization
Contact information
Practice address
23208 MAIN ST, COURTLAND, VA 23837-1302
(757) 653-2873
(757) 653-2453
Mailing address
23208 MAIN ST, COURTLAND, VA 23837-1302
(757) 653-2873
(757) 653-2453
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
792
VA
Other
Enumeration date
07/12/2005
Last updated
08/22/2020
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