| NPI | 1205420601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI ANN LOVELL Business Office Manager 307-367-4757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |