| NPI | 1184674129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER WAYNE SHRADER Deputy Fire Chief 276-403-5203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: VA 835) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-07-13 |