| NPI | 1457363483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN BUTH Billing Liaison 712-893-2160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IA 2971800) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-01-24 |