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Organization

CLINTON MEDICAL TRANSPORT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY V CHAMBERLAIN (OWNER)
(937) 383-2642
Entity
Organization

Contact information

Practice address
1570 W MAIN ST, WILMINGTON, OH 45177-1031
(937) 383-2642
(937) 382-8228
Mailing address
PO BOX 766, WILMINGTON, OH 45177-0766
(937) 383-2642
(937) 382-8228

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
140012
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0806015
OH
Enumeration date
11/20/2006
Last updated
04/14/2020
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