| NPI | 1558421735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE WHEELER Provider Relations Specialist 800-676-4785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: OH 02-1435650) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2010-11-01 |