| NPI | 1508974254 |
|---|---|
| Doing Business As | AMBULANCE - MEDICAID |
| Entity Type | Organization |
| Authorized Contact | STEPHEN S. WHITED CFO/COO 304-354-9244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: WV 150) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2012-04-18 |