| NPI | 1619911971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOSEPH DORN Chief Administrative Officer 833-703-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: MA 3993) |
| Additional Taxonomies | 3416L0300X Ambulance Land Transport |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2025-01-28 |