| Name | Value |
|---|---|
| PROVIDER TYPE | Transportation Services |
| CLASSIFICATION | Military/U.S. Coast Guard Transport |
| DEFINITION | Vehicle and staff for patient emergency or non-emergency sea/water transport |
| AREA OF SPECIALIZATION | Military or U.S. Coast Guard Ambulance, Water Transport |
| STATUS | Active |
| X12 CODE | 3418M1130X |
| INDIVIDUAL/NON | NON-INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5255990 |
| EFFECTIVE DATE/TIME |
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