| NPI | 1013056639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIS JOHNSON Mayor 270-744-8413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport (Licence: MS 046-ADVANCED LIFE SU) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2022-08-16 |