Organization
MERCY MEDICAL TRANSPORTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD FRED ROESCH I CEO (PRESIDENT)
(209) 966-5762
Entity
Organization
Contact information
Practice address
5081 HWY 140, MARIPOSA, CA 95338
(209) 966-2178
(209) 966-4901
Mailing address
PO BOX 5004, MARIPOSA, CA 95338-5004
(209) 966-5762
(209) 966-4901
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
A195
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE00742F
—
CA
Enumeration date
01/30/2007
Last updated
04/29/2008
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