| NPI | 1215799234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN KAY Administrator 866-439-3165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |