| NPI | 1548228869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTY BASHAM President 815-468-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance |
| Additional Taxonomies | 3416L0300X Ambulance Land Transport |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |