| NPI | 1558539304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE LEE WHEELER Provider Relations Specialist 800-676-4785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: OH 020347350-13) |
| Additional Taxonomies | 341600000X Ambulance |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2011-07-27 |