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NPI Code Detail

MEDICARE: METZ MEDICAL TRANSPORT, INC.

MEDICARE: METZ MEDICAL TRANSPORT, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulance
23416L0300XLand Ambulance

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13019OTHERNCSTATE LICENSE

General Provider Information

NPI Number : 1467014779
Entity Type Code : Organization
Provider Name (Legal Business Name) : METZ MEDICAL TRANSPORT, INC.
Provider Business Mailing Address
First Line : PO BOX 468
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27802-0468
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2551 N CHURCH ST
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-2035
Country : US
Telephone Number : 203-704-1410
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. STEPHEN MATTHEW GROHS
Credential :
Telephone Number : 252-600-6389
Provider Enumeration Date : 07/08/2019
Last Update Date : 08/25/2022

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