| NPI | 1255853016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE CARPENTER Captain 276-655-4240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 341600000X Ambulance (Licence: VA 684) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2021-04-16 |