Organization
MEDICAL TRANSPORT MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM LEE DINTELMAN EMT-B (CEO/OWNER)
(870) 538-3900
Entity
Organization
Contact information
Practice address
111 W PEDDICORD ST, DERMOTT, AR 71638-2115
(870) 538-3900
(870) 538-3902
Mailing address
PO BOX 844, LAKE VILLAGE, AR 71653-0844
(870) 538-3900
(870) 538-3902
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0470
AR
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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