| NPI | 1366420309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE WHEELER Provider Relations Specialist 304-385-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: WV WVOEMS) |
| Additional Taxonomies | 341600000X Ambulance (Licence: WV WVOEMS) |
| 341600000X Ambulance | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2014-12-04 |