| NPI | 1316119035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY CAWTHORN Board President 765-754-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IN 0124) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2013-05-22 |