| NPI | 1124017637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE WHEELER Provider Relations Specialist 304-522-7533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: WV WVEMS) |
| Additional Taxonomies | 341600000X Ambulance |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2010-11-09 |