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General NPI Number Information
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NPI Number | 1407872856
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Entity Type | Organization
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Legal Business Name | ST. JOSEPH'S AMBULANCE SERVICE, INC.
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 06/10/2024
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Provider Practice Location Address
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Address Line | 1100 HERCULES AVE STE 315
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City | HOUSTON
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State | TX
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Zip | 77058-2797
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Country | US
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Telephone | 346-483-0072
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Fax | 346-483-0082
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Provider Business Mailing Address
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Address Line | P.O. BOX 891449
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City | HOUSTON
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State | TX
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Zip | 77289-1449
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Country | US
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Telephone | 281-286-6331
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Fax | 281-922-4234
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MRS. JESSICA JEA WEHMEYER
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Credential |
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Telephone | 346-483-0072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 101408
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License Number State | TX
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