| NPI | 1700883113 |
|---|---|
| Other Name | BEAVER DAM AMBULANCE |
| Entity Type | Organization |
| Authorized Contact | DAMON JACKSON Captain 928-347-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: AZ 124) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2015-01-23 |