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General NPI Number Information
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NPI Number | 1912442773
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Entity Type | Organization
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Legal Business Name | MID-COUNTY AMBULANCE DISTRICT
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Dates
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Enumeration Date | 01/03/2017
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 13940 COUNTY HOME RD
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City | BOWLING GREEN
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State | OH
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Zip | 43402-8773
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Country | US
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Telephone | 419-669-1705
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 429
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City | LEWISVILLE
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State | NC
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Zip | 27023-0429
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Country | US
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Telephone | 800-849-5603
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Fax | 336-791-0196
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Authorized Official
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Title or Position | EMS CHIEF
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Name | JASON BROOKS
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Credential |
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Telephone | 419-352-6730
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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 |
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License Number State |
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