| NPI | 1700096328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE OR GARY BUBBERS Ca PT Ain 605-273-4469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport (Licence: SD 0201) |
| Additional Taxonomies | 3416L0300X Ambulance Land Transport (Licence: ND 80) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-11-07 |