| NPI | 1174679906 |
|---|---|
| Doing Business As | MOUNDRIDGE EMS |
| Entity Type | Organization |
| Authorized Contact | ANGIE VICKREY Billing 620-345-3657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport (Licence: KS 1350) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2012-12-13 |