Organization
INCARNATE AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABENA FYNN (ADMINISTRATOR)
(703) 597-6529
Entity
Organization
Contact information
Practice address
16020 CROSSED TALONS RD, WOODBRIDGE, VA 22193-5797
(703) 597-6529
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
3416L0300X
Land Ambulance
—
—
Other
Enumeration date
03/02/2022
Last updated
05/01/2024
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