Organization
AMERICAN SPECIALTY AMBULANCE, LLC
Active
Other names
American Specialty Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
GIA S SMITH RN (CEO)
(209) 505-1035
Entity
Organization
Contact information
Practice address
4120 DALE RD STE J8-140, MODESTO, CA 95356-9232
(209) 505-1035
(209) 846-0345
Mailing address
4120 DALE RD STE J8-140, MODESTO, CA 95356-9232
(209) 505-1035
(209) 846-0345
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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