| NPI | 1821121286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE HAISLIP Billing Clerk 308-423-2058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate (Licence: NE 5016) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NE 1426) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |