| NPI | 1669597712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYMOND E BRADLEY EMS C Hief 660-736-5216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: MO 5002) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: MO 005002) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2023-04-20 |