| NPI | 1114900156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN L STOCKDALE Manager 814-257-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: PA 02186) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: PA 02186) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2020-08-22 |