| NPI | 1639399058 |
|---|---|
| Doing Business As | LOGAN AMBULANCE SERVICE |
| Entity Type | Organization |
| Authorized Contact | LARRY WALLIN Village Administrator 505-487-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: NM 12549) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-04-20 |