Organization
PROGRESSIVE AMBULANCE, INC.
Active
Other names
Liberty Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A SUVER III (CEO)
(760) 499-3902
Entity
Organization
Contact information
Practice address
350 E RIDGECREST BLVD, RIDGECREST, CA 93555-3928
(760) 375-6531
(760) 371-1115
Mailing address
PO BOX 157, RIDGECREST, CA 93556-0157
(760) 375-6531
(760) 371-1115
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1799
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE00293F
—
CA
Enumeration date
11/17/2006
Last updated
04/25/2023
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