| NPI | 1609942549 |
|---|---|
| Former Legal Business Name | COOPER LANDING VOLUNTEER AMBULANCE, INC. |
| Entity Type | Organization |
| Authorized Contact | KAY THOMAS Treasurer 907-595-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: AK 712498) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2018-06-21 |