| NPI | 1427021161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MARKHAM Medical Director 712-544-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate (Licence: IA 2780100) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2009-11-05 |