MEDICARE: METRO MEDICS AMBULANCE LLC

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
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1558914606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO MEDICS AMBULANCE LLC

Provider Business Mailing Address
First Line	:	3906 CONCORD PIKE STE E1
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19803-1734
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3906 CONCORD PIKE STE E1
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19803-1734
Country	:	US
Telephone Number	:	302-219-4655
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	TAM GEORGE
Credential	:
Telephone Number	:	302-219-4655

Provider Enumeration Date	:	07/18/2019
Last Update Date	:	01/22/2021

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Directions to “METRO MEDICS AMBULANCE LLC ” Practice Location

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