Organization
EMTCORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN KEITH MERCER EMT (OWNER)
(978) 975-3767
Entity
Organization
Contact information
Practice address
75 HILLSIDE AVE, LAWRENCE, MA 01841
(978) 975-3767
(978) 682-3645
Mailing address
PO BOX 510, LAWRENCE, MA 01842
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1713175
—
MA
Enumeration date
04/17/2007
Last updated
01/30/2008
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