| NPI | 1477652501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY D CLARK Compliance Officer 870-777-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 3416A0800X Ambulance, Air Transport |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2016-01-05 |