| NPI | 1962544221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE RAE PERRY Treasure 307-290-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: WY 39) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2019-05-17 |