| NPI | 1144265711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY BASHAM Prisident 815-468-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 341600000X Ambulance |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2017-03-08 |