| NPI | 1780482349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOSEPH DORN Chief Administrative Officer 833-703-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance |
| Additional Taxonomies | 3416L0300X Ambulance Land Transport |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-05-09 |