NPI 1205863453

Eastern Shore Ambulance INC

Organisation Land Ambulance Portsmouth, VA

Practice location

Address: 3301 Airline Blvd, Portsmouth, VA 23701-2661
Phone: (866) 343-7153
Fax: (757) 787-9436
Mailing address: PO Box 538194, Atlanta, GA 30353-8194

Authorised official

Name: Matthew Thomas Ellis
Title: Ar Manager
Phone: (866) 343-7153

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 535 (VA)

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Registry record

NPI: 1205863453
Entity type: Organization
NPI issued: 26 Jun 2006
Record last updated: 28 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.