| NPI | 1508022690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE WHEELER Provider Relations Specialist 304-521-1576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: VA 510) |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport (Licence: VA 510) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2012-10-18 |