| NPI | 1649280025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE WHEELER Provider Relations Specialist 800-676-4785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: OH 020734950) |
| Additional Taxonomies | 341600000X Ambulance |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2011-02-15 |