| NPI | 1336218189 |
|---|---|
| Former Legal Business Name | BONANZA AMBULANCE |
| Entity Type | Organization |
| Authorized Contact | PAMELA FAYE WIERSMA President 541-892-8106 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 341600000X Ambulance (Licence: OR T520620) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2016-07-08 |