Organization
AMBUCAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK MIMS (OWNER)
(484) 241-8254
Entity
Organization
Contact information
Practice address
4321 ANTHONY DR, BETHLEHEM, PA 18020-9323
(484) 241-8254
Mailing address
4321 ANTHONY DR, BETHLEHEM, PA 18020-9323
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
05/27/2020
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