Organization
PROVIDENCE MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE JENKINS (STATION MANAGER)
(937) 260-4244
Entity
Organization
Contact information
Practice address
2324 STANLEY AVE, DAYTON, OH 45404-1202
(937) 260-4244
(937) 262-7999
Mailing address
2324 STANLEY AVE, DAYTON, OH 45404-1202
(937) 260-4244
(937) 262-7999
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
OH
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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